Abstract

Abstract Aim Awareness of considerations to keep pregnant colleagues safe in theatres is crucial for equity and diversity. National orthopaedic guidance exists for radiation, cement exposure, gas induction, scrub, and managing symptoms. Lack of knowledge of guidance can cause anxiety for pregnant staff and friction between colleagues. This multi-centre initiative assessed and improved awareness of pregnancy considerations amongst theatre staff, promoting allyship and a supportive environment, Method A questionnaire assessing knowledge of published guidance on pregnancy considerations was completed by orthopaedic theatre staff (surgeons, anaesthetists, nurses, allied health professionals and students) at eight trusts. Educational posters were displayed in theatres and changing areas. The questionnaire was then repeated. Results 290 pre-poster (49.1%:50.2%:0.7% Male:Female:Non-Binary) and 220 post-poster (37.8%:62.2%:0.0% M:F:NB) questionnaires were completed. Pre-poster, the average percentage of correct questionnaire answers was 22.4%, with a significant 47.3% increase post-poster to 69.8% (95%CI 43.8%-50.8%, p=0.0000). Knowledge varied widely across domains, increasing across all topics (radiation 9.0% to 61.4%, scrub 17.2% to 74.5%, cement 30.3% to 72.3%, gas induction 10.7% to 57.7% and symptom management 45.2% to 82.7%). There was a significant post-poster difference of 21.9% (95% CI 16.3%-27.5%, p=0.0000) between female and male scores (females scoring higher), compared to a non-significant pre-poster difference of 4.2% (95%CI -0.4% to +8.8%, p=0.0783). Conclusions This study revealed a low pre-existing knowledge of important pregnancy considerations amongst theatre staff. A simple poster campaign transformed awareness in all staff groups and should be expanded across specialties and nationwide to promote allyship and support for our pregnant colleagues.

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