Oct 1, 2026 · 45 min · 12 segments
What's a mom-to-be to do if she's also an ophthalmologist? In part 2 of this two-part series, host Dr. Ben Young invites Dr. Fei Cai, a maternal-fetal medicine specialist and obstetrician, to review…
That was, you know, it's, uh, I think a great overview of, like, where we are now.
And, you know, in, in the first half, Dr. Kumar reviewed, you know, how the obstetric outcomes are just, you know, not as good, um, both, both from fertility and, you know, um, obstetric complication rate for, for surgeons.
And, you know, I hope that some of these measures may even that playing field, which, you know, th-th-there's really, I, I would hope not a reason that we shouldn't, um, surgeons at least shouldn't be able to, to, to get close to the general population in terms of outcomes.
Do you have any thoughts on that? Like, are these kind of things that you've talked about the reason that there's that disparity in outcomes?
I, I think, you know, when we're reading these outcomes, there's always a little bit of, um, def-definitely probably having children at an older age because we know that surgeons are having children when they're older.
Um, having children when you are probably very stressed, like you're on your feet all day, you're seeing patients twelve, sixteen hours a day, et cetera.
All those things probably do lead to some increased, um, you know, increasing worsening outcomes.
And hopefully some of these things that we're talking about is going to decrease that.
I do think that, you know, potentially there is some bias that is introduced, right? Because we are talking about a group of people who are very, um, who are very highly educated.
So when we compare them to the general population, you know, we're probably capturing people who are more likely to seek medical care, people who are more likely to, um, you know, go right by the book of infertility.
Time to go see the REI." Um, so there, there may be a little bit of bias, but I absolutely agree that when you're comparing surgical out- like surgeon outcomes for pregnancy to general physicians, there is definitely a disparity there.
So there's definitely something there where I think needs, that we need to address, um, to make sure that we are having hopefully equitable outcomes in, in surgeons.
That was, you know, it's, uh, I think a great overview of, like, where we are now.
And, you know, in, in the first half, Dr. Kumar reviewed, you know, how the obstetric outcomes are just, you know, not as good, um, both, both from fertility and, you know, um, obstetric complication rate for, for surgeons.
And, you know, I hope that some of these measures may even that playing field, which, you know, th-th-there's really, I, I would hope not a reason that we shouldn't, um, surgeons at least shouldn't be able to, to, to get close to the general population in terms of outcomes.
Do you have any thoughts on that? Like, are these kind of things that you've talked about the reason that there's that disparity in outcomes?
I, I think, you know, when we're reading these outcomes, there's always a little bit of, um, def-definitely probably having children at an older age because we know that surgeons are having children when they're older.
Um, having children when you are probably very stressed, like you're on your feet all day, you're seeing patients twelve, sixteen hours a day, et cetera.
All those things probably do lead to some increased, um, you know, increasing worsening outcomes.
And hopefully some of these things that we're talking about is going to decrease that.
I do think that, you know, potentially there is some bias that is introduced, right? Because we are talking about a group of people who are very, um, who are very highly educated.
So when we compare them to the general population, you know, we're probably capturing people who are more likely to seek medical care, people who are more likely to, um, you know, go right by the book of infertility.
Time to go see the REI." Um, so there, there may be a little bit of bias, but I absolutely agree that when you're comparing surgical out- like surgeon outcomes for pregnancy to general physicians, there is definitely a disparity there.
So there's definitely something there where I think needs, that we need to address, um, to make sure that we are having hopefully equitable outcomes in, in surgeons.
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