Objective

Obstetrics is a constraining specialty due to heavy workloads and repeated stressful situations. French maternity wards are facing many difficulties to recruit, as a consequence of the conversion of a significant number of Obstetrician-Gynecologists (OB-GYNs) to exclusive daily private practice. The aim of this study was to evaluate the quality of life (QOL) of OB-GYNs in order to identify burnout risk factors, develop prevention strategies and therefore ensure patient safety.

Study Design

A Google forms questionnaire assessing QOL and life/work balance was distributed by e-mail to 1 397 members of the National College of French OB-GYNs (CNGOF). This was a declarative multicenter cross-sectional survey.

Results

Four hundred sixty-one responses were collected (response rate 30%). A burnout episode was reported by 31.3% of respondents. Main burnout risk factors were limited staff on the on-call schedule (p = 0.008) and low salary (p < 0.001). On-call work was considered to have a negative personal life impact by 57.8% of the sample; 34.1% wanted to stop this practice and 81.3% believed that financial compensation would help reinforce its attractiveness. Medico-legal risks influenced the daily practices of 70% of respondents and 86.8% had been personally affected by media coverage of obstetrical violence.

Conclusions

This report confirms a high burnout rate within a stressful profession, with major impacts from on-call activity, insufficient salary relative to the arduousness of this practice, high exposure to medico-legal actions and media attention. Revising shift duration to a maximum 12 h, better control over global workload, higher salary and renewed social recognition are urgent priorities.

中文翻译：

---

法国妇产科医生如何看待他们的生活质量？全国调查

客观的

由于繁重的工作量和反复的压力情况，产科是一个限制性专业。由于大量妇产科医生 (OB-GYN) 转为独家日常私人执业，法国产科病房面临着许多招聘困难。本研究的目的是评估 OB-GYN 的生活质量 (QOL)，以确定倦怠风险因素，制定预防策略，从而确保患者安全。

学习规划

评估 QOL 和生活/工作平衡的 Google 表单问卷已通过电子邮件分发给 法国妇产科国立学院 (CNGOF) 的 1397 名成员。这是一项声明性的多中心横断面调查。

结果

收集了 461 份回复（回复率为 30%）。31.3% 的受访者报告过倦怠期。主要的倦怠风险因素是随叫随到的工作人员有限 (p = 0.008) 和低薪水 (p < 0.001)。57.8% 的样本认为值班工作对个人生活有负面影响；34.1% 的人希望停止这种做法，81.3% 的人认为经济补偿有助于增强其吸引力。医疗法律风险影响了 70% 的受访者的日常行为，86.8% 的人个人受到媒体对产科暴力报道的影响。

结论

这份报告证实了压力职业中的高职业倦怠率，主要影响来自随叫随到的活动、相对于这种做法的艰巨性的薪水不足、高度暴露于医疗法律行动和媒体关注。将轮班时间修改为最长 12 小时、更好地控制全球工作量、更高的薪水和重新获得社会认可是当务之急。