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MDs, maternity leave and adopted children
CMAJ 2001;164(1):15-6 [PDF]


See response from: B. Lent
See also:Maternity leave for adoptive parents in Ontario [Letter]

Barbara Lent and colleagues recently discussed the parental-leave issue in CMAJ [Commentary].1 The issue was also raised when the Ontario Medical Association (OMA) was negotiating our recent contract. At first I was pleased that maternity leave benefits would be available under this contract, but I was disappointed to learn that the new program excluded adoptive mothers. As a newly practising pediatrician with 2 young children adopted in residency, I recognize the incredible expense incurred when planning to have a subsequent child.

In announcing the program, the OMA said that "most women were encouraged to take time to establish breast-feeding, maternal bonding and to allow their bodies to recover from the process of childbirth." Similarly, Lent and colleagues stated that "maternity leave allows women time to adapt to the emotional and physical demands of motherhood and the change in family dynamics, gives them time to spend with their newborn and provides the opportunity for 4 months of exclusive breast-feeding as recommended by the Canadian Paediatric Society."1 With the exception of physical recovery following birth, these facts apply to both adopted and biological children.

With this contract, the OMA could have helped show that all children deserve time with their parents after birth. Its failure to fund maternity benefits for adoptive mothers will affect few physicians, which also means that it would cost the OMA very little to extend the maternity-benefits package to allow for such leave. Although many think maternity benefits are to allow for the mother's physical recovery, the goals outlined above do not support this. The Unemployment Insurance Act was amended in 1984 to reflect this by providing 15 weeks of parental benefits to an adoptive parent.

The real reason that we stay home with our children is because we love them and want to provide them with the best start we can. That should be a personal goal as well as the goal of all physicians.

No matter what happens, if I have another child I will take my maternity leave, with or without the financial support of the OMA. This means that I will incur ongoing office expenses and lost billings, in addition to adoption costs of $10 000 to $20 000. However, my kids need me and I refuse to treat them differently than biological children. Unfortunately, and as with all minority groups, it is hard to be heard.

Kristen Hallett
Pediatrician
Owen Sound, Ont.


Reference
  1. Lent B, Phillips SP, Richardson B, Stewart S, on behalf of the Gender Issues Committee of the Council of Ontario Faculties of Medicine. Promoting parental leave for female and male physicians [commentary]. CMAJ 2000;162(11):1575-6.

 

 

Copyright 2001 Canadian Medical Association or its licensors