IVF and the Leadership Gap for Women (opinion)

IVF and the Leadership Gap for Women (opinion)

After a 20-year career in higher education, including roles as a chief academic officer and faculty member, I left to have a child. I was one step away from a presidency on the higher ed career ladder, and in fact I had written my dissertation on what gets in the way of women moving into college presidencies. Yet it was not until I finally met my life partner and had the opportunity, in my 40s, to start a family that I understood how fully the higher ed career deck is still stacked against those seeking to have children, and especially those seeking to have children in nontraditional ways—largely women, LGBTQIA+ folks and anyone facing a difficult pregnancy, in vitro fertilization, adoption or fostering process.

In the United States, 2.6 percent of all births—95,860 babies in 2023—result from IVF, a time-consuming, costly and physically and emotionally challenging process. The percentage for women academics may be even higher, given their relatively high education levels, socioeconomic status and pressure to delay childbearing for academic careers. According to Pew, 56 percent of people with graduate degrees have gone through or know someone who has undergone IVF or other assisted reproduction.

The literature has well documented how the academy has been created by men and is designed to fit their needs and their bodies. Women who have sought professorships or academic leadership positions have, historically, needed to conform to rules written for men’s life cycles. Articles such as Carmen Armenti’s classic “May Babies and Posttenure Babies” speak to women’s attempts to give birth at the end of the academic year and after earning tenure. The tenure clock illustrates this issue well—the usual seven years in which a newly hired assistant professor has time to sufficiently publish and obtain tenure largely coincide with women’s most fertile years. Many forward-thinking institutions such as the University of California system have been addressing this issue by stopping the tenure clock for childbirth and related family formation. It is a step in the right direction that all colleges and universities should consider.

But what happens when the usual challenges of pregnancy and childbirth are compounded by infertility, miscarriage and the sometimes years-long process of IVF?

I met my husband during the pandemic, and we married the next year. Both of us in our 40s and having always wanted a child but neither having met the right partner, we quickly found ourselves going down the IVF route. At the time, I had completed a one-year executive interim role and was on the job hunt and doing part-time remote teaching, and this situation proved fortuitous.

I had no idea how grueling the IVF process would be—multiple rounds of more than a month at a time of hormone pills; nightly self-administered injections for weeks on end; weekly doctor visits, blood draws and ultrasounds—and at the end of each round, a day surgery under anesthesia to retrieve eggs. Several iterations of this, followed by more of a similar process to prepare the body for embryo transfer. The journey is physically and emotionally exhausting, time-consuming, and logistically challenging. It can also be incredibly expensive, with the medications and surgeries costing into the tens of thousands for those whose health insurance does not cover it.

My husband and I had a number of factors helping us on this journey. We had built a supportive network of family and friends. We were fortunate that I was less sick than many women are on these medications. Finally, we were privileged to have insurance (through my husband’s job, which is not in higher ed) that paid for the majority of our treatments. Due to working part-time and remotely, I had the flexibility I needed to take naps, wear comfortable clothes that fit my bloated belly without having to reveal my family-forming status to anyone at work and generally have the privacy I needed during a challenging time.

Other women who work full-time in-person during this process navigate a daunting gauntlet of frequent doctor appointments, exhaustion and sickness at work, while trying to hide a body that can look pregnant before it is. Not to mention that few people fully understand the process, and telling a little can lead you down an uncomfortable path of revealing a lot. Because everything is timed to the menstrual cycle, seemingly innocent questions inevitably lead to awkward conversations. It’s therefore hard to share what you’re going through or ask for support at work at the time you need it most.

And then there are the chemical pregnancies and miscarriages that can happen, and did for us. Grieving for both parents is exacerbated by the isolation and privacy of the whole process. Some companies and higher ed institutions, such as Tufts University in Massachusetts, now offer bereavement leave for miscarriage, something that happens in 10 to 20 percent of pregnancies but is still rarely talked about. All institutions throughout higher ed should offer similar leave.

During this journey, I was also interviewing for full-time jobs, and I was hired into a senior leadership position. My husband and I were taking a break from the exhausting process at that point and the opportunity was once-in-a-lifetime, and so we picked up and moved two states away. My husband’s job had gone remote, giving us the flexibility we needed for my career. We wagered that if I stayed in a part-time role too much longer, it would be increasingly difficult to climb back into a full-time position. The stigma around a résumé gap is alive and well in higher education, with little understanding that this gap often reflects people’s (frequently women’s) time away for family and other care-taking needs, rather than their work experience or abilities. Yet, even when I’ve tried to explain to search committees that I’ve led how discriminatory it can be to overly focus on résumé gaps, faculty and staff often have looked askance at me. This is something else that needs to change.

My husband and I waited almost a year before doing our next embryo transfer. I settled into the job, we settled into our home, we finally had a post-COVID celebration of our marriage. And then I was pregnant! Sadly, I miscarried again toward the end of my first trimester. I powered through at work, serving as a chief academic officer and supervising 200 people while trying to juggle meds, doctor’s appointments, exhaustion and then loss. I read students’ names at a stadium-sized graduation ceremony soon after a miscarriage.

It became clear to me over the following months that the stress and lack of flexibility of a senior role would not lend itself to a last chance at a healthy pregnancy. It was a difficult decision to leave, but also one that I had no doubts about once made. Within weeks we were pregnant again, this time successfully so with a beautiful baby girl who is now a year old. It was not an easy pregnancy, and our daughter likely would not be here had I stayed in my role and not been able to rest as much as I did.

Since her birth, I have launched a higher ed editing and consulting business, resumed teaching part-time, and otherwise adjusted to life as a new mother. For me, leaving higher ed senior leadership was a deliberate choice. I needed more flexibility and control over my own time to be able to care for myself and my child properly. I may or may not return someday to that leadership pathway, and that door may or may not be open to me if I attempt to do so. I’ve learned, however, that to address the question my dissertation asked—Why don’t we have more women in presidencies?—we need to better understand and respond to the many women (and many men and nonbinary folks) who find themselves going through similar family-formation challenges across higher education.

  • First, we need to offer more flexibility—remote work, flexible hours, the option for extended parental leaves for new parents and foster parents.
  • Second, we need to consider not only fully paid leave under the Family and Medical Leave Act for childbirth and parental bonding, but also paid medical benefits for IVF as well as similar support for adoption and fostering.
  • Third, we need to formalize bereavement leave for miscarriage.
  • Fourth, we need to destigmatize the career gap, so that those who leave would have the opportunity to return.
  • Fifth, we need to fairly compensate those who assume the work of colleagues who take FMLA for any care-taking reason.
  • Lastly, we need to change the higher ed culture to one that understands and supports family formation in all its iterations, not just traditional pregnancy with traditional medical leaves.

I recognize my privilege in being able to leave my job—privilege that enabled me to have a child when so many before me without the same economic resources have not been able to. My situation may seem like an outlier to those who are in their 20s or early 30s or who have had relatively easy and healthy pregnancies. But I’m sure that my story rings true for those who have delayed childbearing for their academic careers and then faced the rigors of IVF, or for people of any age who have faced infertility or more difficult pregnancies. For those LGBTQIA+ and other folks who go through the egg/sperm donation process and IVF and surrogacy. For couples and singles who may adopt or foster and face needs for legal meetings and other child-related time off that institutions do not always provide.

Higher ed has taught me so much about antiracism, feminism, LGBTQIA+ rights and other inclusive practices. However, higher ed writ large doesn’t offer the kinds of paid leave and flexibility needed for all employees to succeed at both parenting and work.

Higher ed is losing women with executive leadership potential. The majority of undergraduate and graduate students are women. Yet only 37 percent of full-time faculty are women. Only 33 percent of college presidents are women. Women melt away for a host of reasons. But this former chief academic officer, one step away from a presidency on the career ladder, left the executive pathway because it was the only way I could do so and have a healthy pregnancy and a healthy child.

As long as higher ed makes having a child versus having an academic career a zero-sum choice for many women, it shouldn’t be a surprise that we still have so few women in senior leadership. When the answer becomes “yes, have both” at institutions across the board is when we might start to see the numbers change.

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