Congratulations on your pregnancy! What an exciting time for your family, but what does this mean for your residency training?
First of all, it is important to note any time away from your residency training is expected to be made up once you return from your leave. In some instances, there may be an option to have a certain amount of leave excused.
Please note excusable time away from residency is NOT a guarantee. If you are considering this option, it should be a conversation with your program director and will depend on your trajectory as a resident. Any requests to excuse further time away from your training program than outlined above will need to be submitted and approved by your respective college (i.e. College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada).
According to the Resident Doctors of BC Collective Agreement, if recommended in writing by their treating physician, midwife or nurse practitioner, pregnant residents after 24 weeks of gestation, will not be required to work more than 12 continuous hours (i.e. not required to do any overnight call shifts). Residents are also not required to make up these shifts after returning from maternity leave. Residents may also be able to opt out of duties that may expose them to hazardous environments/infectious diseases.
As a simple rule, let your preceptor or rotation coordinator know you are pregnant. This will help you and your preceptor discuss limitations and restrictions for your physical well-being.
Care of your Pregnancy: What to Expect
Ensure you have a medical professional such as a family physician specializing in obstetrics, midwife, or OBGYN who will care for over the course of your pregnancy. If you don't have a family physician, know that you can self-refer to a maternity care provider in BC. Please see our section on hospitals providing maternity care in BC for more details.
Getting time off for medical appointments or medical imaging can be arranged through your program, and rotation . Please note, you should NOT be required to use vacation time or flex days for your medical appointments.
Appointments and Labs:
Expect your initial appointment with your family doctor, Midwife or OB at around 8-12 weeks.
Subsequent appointments for uncomplicated pregnancy as per SOGC recommendation,
Options for Prenatal Genetic Screening:
Gestational Diabetes screen: At 24-28 weeks
GBS screen: At 35- 37 weeks
Dating Ultrasound: Usually at 8-12 weeks
Detailed Ultrasound:: Between 18-20 weeks
*Disclaimer: the care above is outlined for uncomplicated pregnancies. Any complications or pre-existing concerns will be monitored more closely as deemed appropriate by your care provider.
1) Best Chance 2019 edition: Parents' Handbook of Pregnancy and Baby Care
2) What No One Tells You: A Guide to Your Emotions from Pregnancy to Motherhood - by Dr. Alexandra Sacks and
Dr. Catherine Birndorf
3) The Girlfriend’s Guide to Pregnancy - by Vicky Lovine
4) Expecting Better - by Emily Oster
5) The Pregnancy Countdown Book: Nine Months of Practical Tips, Useful Advice, and Uncensored Truths - by Susan Magee with Kara Nakisbendi, MD
Baby Bump: gives regular updates on how big baby is, what size they are compared to a fruit, tips for what to do during each week and trimester, and a contraction timer!