现役军事服务对新生儿出生结果的影响:系统性审查
1London School of Hygiene & Tropical Medicine, London, UK kirsten.morris@doctors.org.uk.
BMJ military health
|April 22, 2024
概括
现役女士可能有较高的低出生体重 (LBW) 婴儿的风险. 在全球范围内,需要对军事女性的生殖健康进行更多研究.
科学领域:
- 军事医学 军事医学
- 生殖健康 生殖健康
- 新生儿结局的结果.
背景情况:
- 全球日益增加的女性军事参与需要了解与怀孕相关的风险.
- 军事就业压力因素可能会增加现役服役妇女 (ADSW) 新生儿不良结果的风险.
- 本综述研究了PTD,PTL,LBW以及ADSW出生的婴儿死胎的流行情况.
研究的目的:
- 系统地审查现役服役妇女产生的婴儿中不良分娩结果的流行情况.
- 为了确定与怀孕期间服兵役相关的潜在风险.
主要方法:
- 在遵循PRISMA协议后进行系统审查.
- 在Medline,EMBASE,Web of Science,全球健康和CINAHL Plus数据库中进行了搜索.
- 使用乔安娜·布里格斯研究所工具评估偏见风险并进行叙事合成.
主要成果:
- 包括21项观察性研究 (美国军方,650,628名参与者).
- 有证据表明,与非服务妇女相比,ADSW婴儿的低出生体重 (LBW) 增加.
- 关于早产 (PTD) 或早产 (PTL) 增加率的证据不足.
结论:
- 现役女士可能面临更高的LBW婴儿的风险.
- 调查结果主要来自美国军方;一般化需要谨慎.
- 强调全球需要针对女性的军事生殖健康研究.
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