怀孕退伍军人的特征:一个描述性的回顾性医疗记录研究
Tracey Ledoux1, Megan Howard2,3, Evan Sattem1,4
1Department of Health and Human Performance, University of Houston, Houston, TX 77204, United States.
Military medicine
|November 4, 2025
概括
与一般人群相比,怀孕的退伍军人面临更高的不良妊娠结果和风险. 了解这些独特的风险概况对于优化护理和解决差异至关重要.
科学领域:
- 生殖健康 生殖健康
- 军人卫生保健 军人卫生保健
- 公共卫生 公共卫生
背景情况:
- 优化孕妇退伍军人的生殖结果需要了解他们的独特风险概况.
- 现有的数据不足以充分描述孕妇服务人员面临的风险.
研究的目的:
- 确定怀孕退伍军人的心理健康诊断率,与军事有关的创伤,生活方式行为和怀孕风险.
- 评估这些风险因素与不良妊娠结果之间的关联.
主要方法:
- 519名怀孕退伍军人使用VA产妇护理 (2018-2020年) 的电子医疗记录的回顾性审查.
- 数据的提取和分析基于国家指南的不良风险和孕产妇/胎儿的结果.
- 风险因素率与有关平民人口的出版文献的比较.
主要成果:
- 与普通人群相比,怀孕的退伍军人 (n=281) 的失业率 (17%),无家可归率 (2%) 和精神健康诊断率 (77%) 较高.
- 在怀孕的退伍军人与平民中观察到更高的流产率 (18%) 和早产率 (13%).
- 军事性创伤,战斗暴露,失业,心理健康诊断和物质使用在这个队列中没有预测不良结果.
结论:
- 怀孕的退伍军人表现出妊娠不良结果和相关风险的高率.
- 解决孕产妇发病率和死亡率的差异对于VA保持医疗保健领导地位至关重要.
- 需要进一步的研究和有针对性的干预措施来改善退伍军人的生殖健康.
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