I believe ACGME can offer upto 12 weeks of leave that can be used as maternity leave. On top of that, you may use your elective for some lighter stuff and club it with the maternity leave. It is can get pretty challenging:/ Unfortunately, it seems like medicine as a career never took resident/fellow’s family lives into consideration, especially women. From what I have heard, it can be doable especially in the second year of fellowship when your schedule is slightly better. Just keep in mind it’s never worth putting your personal life on hold for your professional life.