怀孕期间配偶军事部署对新生儿出生结果的影响:系统性审查
1Public Health Registrar, Army Medical Services, Camberley, UK kirsten.morris@doctors.org.uk.
BMJ military health
|July 3, 2023
概括
部署军事人员可能会增加他们的孕妇早产 (PTD) 的风险. 然而,证据有限,没有发现与低出生体重 (LBW) 的联系.
科学领域:
- 生殖健康 生殖健康
- 军事医学 军事医学
- 围产期流行病学 围产期流行病学
背景情况:
- 怀孕压力与不良分娩结果有关,如早产 (PTD) 和低出生体重 (LBW).
- 军人配偶/伴侣面临着独特的压力因素,可能会影响怀孕.
- 部署服务人员可能会加剧这些压力因素.
研究的目的:
- 系统地审查关于军事部署是否会增加PTD或LBW风险的证据.
- 确定有关部署服务人员伴侣的围产期结果的研究缺口.
主要方法:
- 对EMBASE,Medline,PubMed和全球健康数据库的系统审查 (开始至2021年3月).
- 在部署服务人员的合作伙伴中,包括PTD/LBW的英语初级研究.
- 从符合条件的队列或横截面研究中得出的结果的叙述综合.
主要成果:
- 三项基于美国的研究 (2005-2016,N=11,028) 符合标准.
- 有限的证据表明,配偶的部署可能是PTD的风险因素.
- 在配偶部署和LBW之间没有发现任何关联.
结论:
- 部署军事人员的孕妇伴侣可能面临PTD的风险增加.
- 由于有限的严格研究,目前的证据很弱.
- 需要进一步的研究,特别是包括英国的服务女性,以解决围产期需求和潜在的未满足需求.
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