{"id":23554,"date":"2026-04-22T11:01:00","date_gmt":"2026-04-22T15:01:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=news_release&#038;p=23554"},"modified":"2026-04-20T12:05:25","modified_gmt":"2026-04-20T16:05:25","slug":"physicians-pay-the-price-for-taking-parental-leave-increasing-their-workload-in-early-pregnancy-and-returning-soon-after-childbirth","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/physicians-pay-the-price-for-taking-parental-leave-increasing-their-workload-in-early-pregnancy-and-returning-soon-after-childbirth\/","title":{"rendered":"Physicians pay the price for taking parental leave, increasing their workload in early\u00a0pregnancy\u00a0and returning soon after childbirth\u00a0"},"content":{"rendered":"<p><b><span data-contrast=\"auto\">Toronto, ON, April 22, 2026<\/span><\/b><span data-contrast=\"auto\">\u202f\u2014\u202fPhysicians experiencing pregnancy often maintained or increased their workload in the first and second trimesters, then reduced it in the third, according to a new research study from <\/span><b><span data-contrast=\"auto\">ICES<\/span><\/b><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><b><span data-contrast=\"auto\">Unity Health\u00a0Toronto<\/span><\/b><span data-contrast=\"auto\">. The study also found that surgeons returned to work sooner than other specialties after childbirth\u2014typically within about 19 weeks. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Physicians experiencing pregnancy, particularly earlier in their careers, may face significant pressures, including income loss during leave and maternal discrimination, which can affect well-being and the experience of taking and returning from parental leave. While the study did not assess the underlying causes of these pressures, many of them can be influenced by workplace and policy supports. Authors of the study recommend strengthening parental leave and return-to-work supports, which could help improve physician well-being and retention.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The study aimed to examine changes in work patterns for physicians before, during, and after pregnancy. Using physician billing claims, they identified the work activity of 3,932 doctors who experienced 5,948 pregnancies. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">During early pregnancy, physician workload remained stable or increased. Among all physicians, overall workload increased in pregnancy. Compared to an average of 43.5-67 days worked over 14 weeks pre-pregnancy, their workload increased by about 12 per cent in the first two trimesters\u2014equivalent to approximately 46-70.5 days per trimester\u2014and then decreased in the third trimester to 27-43 days (each trimester is 98 days or 14 weeks in length). Overnight work followed a similar pattern, with physician workload increasing during early pregnancy and decreasing in the third trimester. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cOur findings suggest physicians may increase their workload in early pregnancy in anticipation of working less later on,\u201d says Dr. Andrea Simpson, an obstetrician and gynaecologic surgeon at St. Michael\u2019s Hospital, a site of Unity Health Toronto, and an ICES scientist. \u201cIn group practices, physicians may need to take an equal share of call or overnight work, and some may schedule more of those shifts to the first and second trimesters. Overall, the pattern suggests some physicians may be \u2018paying the price\u2019 early\u2014taking on more work up front\u2014to make it possible to step back later in pregnancy.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">On average, physicians returned between 133 and 270 days postpartum. Surgeons returned the earliest, at a median of 133 days (19 weeks) after childbirth, and psychiatrists returned the latest at a median of 270 days (39 weeks). This is quicker than most Canadians taking parental leave\u2014the majority take at least nine to 12 months (39 to 52 weeks).<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe also found differences in return-to-work patterns among family physicians by practice model,\u201d says Dr. Simpson. \u201cA higher proportion of those practising in major primary care models, such as family health teams, returned sooner than peers in other models.\u201d<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Resident physicians were not included because they do not submit billing claims. Male physicians and adoptive physician parents were also excluded, although other studies suggest that these groups adjust their workload to accommodate parenting. All physicians included in the study were active between April 1, 2002, and November 18, 2018, and had practised for a minimum of two years prior to their pregnancy in Ontario. <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The study, \u201cPhysician work patterns in pregnancy, parental leave, and return to the workforce,\u201d is in the April issue of <\/span><i><span data-contrast=\"auto\">JAMA Network Open<\/span><\/i><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">ICES<\/span><\/b><span data-contrast=\"auto\">\u202fis an independent, not-for-profit research and analytics institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. ICES leads\u00a0cutting-edge\u00a0studies and analyses evaluating healthcare policy, delivery, and population outcomes. Our knowledge is highly regarded in Canada and abroad and is widely used by government, hospitals, planners, and practitioners to make decisions about healthcare delivery and to develop policy. For the latest ICES news, follow us on BlueSky and\u00a0LinkedIn: @ICESOntario\u202f\u00a0\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Unity Health Toronto<\/span><\/b><span data-contrast=\"auto\">\u00a0is a leading Canadian health research institution with a wingspan across Toronto\u2019s core. Unity Health Toronto\u2019s strength lies in the combined expertise of its three hospital sites: St. Joseph\u2019s Health Centre, a community academic and acute care hospital supporting Toronto\u2019s west end; St. Michael\u2019s Hospital, a research-intensive academic health sciences\u00a0centre\u00a0affiliated with the University of Toronto with world-class specialty programs for complex cases; and Providence Healthcare, a\u00a0campus of care for seniors, rehabilitation and long-term care. Our satellite clinics offer team-based primary care and community-based services. We aim to provide compassionate, high-quality care at every stage of our patients\u2019 health journey, from pediatric to primary care, urgent and acute care, world-class specialty care programs, seniors care, rehabilitation, long-term care, palliative\u00a0care\u00a0and advanced care for the most complex patients.<\/span><br \/>\n<span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">FOR FURTHER INFORMATION PLEASE CONTACT:\u202f\u202f\u202f<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Charlotte\u00a0Lam\u202f\u202f\u202f<\/span><br \/>\n<span data-contrast=\"auto\">Communications Associate\u202f\u202f<\/span><br \/>\n<span data-contrast=\"auto\">ICES\u202f\u202f\u202f\u202f<\/span><br \/>\n<a href=\"mailto:media@ices.on.ca\"><span data-contrast=\"none\">media@ices.on.ca<\/span><\/a><span data-contrast=\"auto\">\u202f\u202f\u202f\u202f<\/span><br \/>\n<span data-contrast=\"auto\">437-317-8804\u202f\u202f\u202f<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Unity Health Toronto<\/span><br \/>\n<a href=\"mailto:communications@unityhealth.to\"><span data-contrast=\"none\">communications@unityhealth.to<\/span><\/a><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toronto, ON, April 22, 2026\u202f\u2014\u202fPhysicians experiencing pregnancy often maintained or increased their workload in the first and second trimesters, then reduced it in the third, according to a new research study from ICES\u00a0and\u00a0Unity Health\u00a0Toronto. The study also found that surgeons returned to work sooner than other specialties after childbirth\u2014typically within about 19 weeks. \u00a0 Physicians [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,26],"class_list":["post-23554","news_release","type-news_release","status-publish","hentry","topic-health-services-research","topic-maternity-and-neonatal-care"],"acf":{"infographic":"","journal_article":[23557],"research_report":"","atlas":"","research_program":[6741],"site":[6739],"ices_scientist":[1358,1370,1177],"announce_or_event":"","video":"","iitn_type":"Article","iitn_title":"","iitn_short_title":"","iitn_source_link_url":"","iitn_source_link_text":"","sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Physicians pay the 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