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The Impacts of Pregnancy and Childbirth on the Career Trajectories and Progression of Women within the Health Sector in the United Kingdom.

Women in the health sector often face unique challenges in balancing professional responsibilities with the demands of pregnancy and motherhood. Extensive research has examined this issue, primarily focusing on nurses and physicians. This study extends the scope by exploring the impacts of pregnancy and childbirth across a broader range of women’s career trajectories in the UK health sector, including support workers. It aims to examine career impacts, explore women’s experiences, and identify solutions for post-childbirth career challenges. Employing Gendered Organisation Theory, the study used a pragmatic, abductive approach with concurrent mixed methods. It combined document analysis with ten in-depth interviews of women across diverse roles in the UK health sector who experienced childbirth during their careers. Data analysis involved qualitative content and thematic analysis, integrated through triangulation. Findings reveal limited career advancement opportunities post-childbirth, often due to assumptions about managing work and childcare. Workplace flexibility, while aiding retention, often leads to career stagnation. A notable finding is the phenomenon of ‘exclusion by empathy’, where well-intentioned colleagues inadvertently limit opportunities for mothers. Participants, particularly support workers, reported career delays, missed training, and significant emotional toll. Recommendations include standardising maternity policies, implementing mentorship programs, promoting flexible working arrangements, enhancing return-to-work programs, and monitoring career progression.  These findings emphasise the need for inclusive workplace policies and mental health support, contributing to a more comprehensive understanding of motherhood-career progression interplay across diverse roles in healthcare.

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