Obstetric Outcomes in Military Servicewomen: Emerging Knowledge, Considerations, and Gaps.

Abstract:

:The number of women in the U.S. military is dramatically increasing. Similarly, the roles of active-duty women are greatly expanding, thus exposing them to new occupational risks. Determining the impact of pregnancy outcomes for women while in the military is difficult due to changing exposures over time, difficulty in utilizing appropriate comparison groups, and the lack of prospective investigations. Despite these limitations, it was concerning that the available data suggest that servicewomen delivering within 6 months of their first deployment have an increased preterm birth risk (adjusted odds ratio [aOR]: 2.1), and those with three prior deployments have an even greater risk (aOR: 3.8). Servicewomen also have an increased risk of hypertensive disorders with a rate of 13% compared with 5% in the general obstetric population. Furthermore, depression is higher for women who deploy after childbirth and are exposed to combat when compared with those who have not deployed since the birth of their child (aOR: 2.01). Due to the importance of this issue, prospective research designs are necessary to better understand and address the unique health care needs of this population.

journal_name

Semin Reprod Med

authors

Mezwa K,Adelsheim L,Markenson G

doi

10.1055/s-0040-1712929

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

215-221

issue

5-06

eissn

1526-8004

issn

1526-4564

journal_volume

37

pub_type

杂志文章
  • LH receptor defects.

    abstract::In this article the role of LH receptor gene mutations in patients with aberrant sex differentiation is discussed. In a dominant autosomal familial form of precocious puberty in boys (familial male-limited precocious puberty) LH receptor gene mutations have been identified. These single amino acid changes, mostly foun...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-35384

    authors: Themmen AP,Verhoef-Post M

    更新日期:2002-08-01 00:00:00

  • An Introduction to Genome-Wide Association Studies: GWAS for Dummies.

    abstract::Although the genetic origin of many human diseases and phenotypes has been long and widely recognized, identification of the causative gene alleles has been limited, slow, and cumbersome. This has changed substantially with the introduction of genome-wide association studies (GWASs) a decade ago, fueled by studies and...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0036-1585406

    authors: Uitterlinden AG

    更新日期:2016-07-01 00:00:00

  • The human fetal adrenal: making adrenal androgens for placental estrogens.

    abstract::During most of gestation, the fetal adrenal gland is almost solely dedicated to the production of dehydroepiandrosterone sulfate (DHEA-S). This specialized ability of the fetal adrenal is unique to primates and occurs because of a specialized fetal zone that composes the bulk of the fetal adrenal gland. Morphologicall...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-861549

    authors: Rainey WE,Rehman KS,Carr BR

    更新日期:2004-11-01 00:00:00

  • X chromosome genes and premature ovarian failure.

    abstract::Premature ovarian failure (POF) is a disorder characterized by lack of ovulation and elevated levels of serum gonadotropins before the age of 40. The etiology of POF is not known but different environmental and genetic factors are involved, suggesting high heterogeneity of the disorder. The involvement of X-linked gen...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-13475

    authors: Bione S,Toniolo D

    更新日期:2000-01-01 00:00:00

  • Environmental endocrine disrupters and disorders of sexual differentiation.

    abstract::Endocrine disrupters are exogenous substances that cause adverse effects in the endocrine system. Sexual differentiation is regulated by reproductive hormones. Male differentiation is critically dependent on normal androgen action, which in turn depends on normal production of luteinizing hormone. Other essential horm...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-35377

    authors: Toppari J

    更新日期:2002-08-01 00:00:00

  • Developmental Origins of Hypothalamic Cells Controlling Reproduction.

    abstract::The hypothalamus-pituitary-gonadal (HPG) axis is the most critical modulator of reproductive function. Genetic or environmental insults to the HPG axis during developmental windows can persist into adulthood, and processes such as gonadal hormone synthesis, timing of puberty, and fertility can be affected. At the leve...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1599083

    authors: Biehl MJ,Raetzman LT

    更新日期:2017-03-01 00:00:00

  • Neuroendocrine changes with reproductive aging in women.

    abstract::Aging has dramatic effects on the reproductive system in women. Undoubtedly, the most notable changes in the neuroendocrine axis arise from the loss of ovarian function, and thus, the loss of negative feedback on the hypothalamus and pituitary. Progressive decreases in inhibin B and inhibin A result in an early increa...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-984740

    authors: Hall JE

    更新日期:2007-09-01 00:00:00

  • Pharmacologic inhibition of adhesion formation and peritoneal tissue-type plasminogen activator activity.

    abstract::Intraperitoneal adhesions remain a costly, long-term sequela of abdominal surgery. They cause significant postoperative morbidity and difficult reoperative surgery. Although adhesions have been recognized for more than 250 years, a uniformly effective method of adhesion prevention does not exist. In recent years, rese...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1082391

    authors: Reed KL,Stucchi AF,Becker JM

    更新日期:2008-07-01 00:00:00

  • The Role of a Mitochondrial Progesterone Receptor (PR-M) in Progesterone Action.

    abstract::Historically, progesterone functions to regulate gene expression via two nuclear progesterone receptors (PR-B and PR-A). Yet, actions of progesterone independent of gene regulation have been observed for decades. These are based on progesterone induced cellular events that occur too rapidly to involve gene transcripti...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1552583

    authors: Price TM,Dai Q

    更新日期:2015-05-01 00:00:00

  • Anejaculation: an electrifying approach.

    abstract::Anejaculation within the context of a male infertility evaluation can be a distressing condition for patients. A variety of causes for anejaculation have been identified, and although the condition cannot be reversed, in many cases a minimally invasive treatment is feasible, allowing the patient to pursue his desire f...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1202307

    authors: Ohl DA,Quallich SA,Sønksen J,Brackett NL,Lynne CM

    更新日期:2009-03-01 00:00:00

  • The human fetal adrenal gland, corticotropin-releasing hormone, and parturition.

    abstract::Labor initiation is a complex process that remains to be fully elucidated. An area of active research involves the study of the different mechanisms that may lead to successful signaling for parturition. This review focuses on the fetal-derived signals that lead to the initiation of labor. These signals may also play ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2006-956772

    authors: Beshay VE,Carr BR,Rainey WE

    更新日期:2007-01-01 00:00:00

  • Noncommunicable diseases.

    abstract::Noncommunicable diseases (NCDs), long considered diseases of little significance to global health, represent the greatest threat to economic development and human health. The main NCDs-diabetes, cancer, cardiovascular disease, and chronic respiratory disease-are the world's number one killer and bear the greatest burd...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0034-1395277

    authors: Marrero S,Adashi EY

    更新日期:2015-01-01 00:00:00

  • Endoscopic management of leiomyomata.

    abstract::Prior to the advent of modern minimally invasive surgery techniques, the primary surgical management of symptomatic leiomyomata for women desiring future fertility or uterine conservation was through laparotomy. Today, many cases of intramural and subserous leiomyomata are managed with laparoscopic myomectomy and sele...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-828621

    authors: Advincula AP,Song A

    更新日期:2004-05-01 00:00:00

  • Role of surgery in endometriosis-associated subfertility.

    abstract::Analysis of published series reveals that no more than a fourth of subfertile patients undergoing surgery for peritoneal endometriotic implants, rectovaginal endometriotic lesions, or recurrent endometriomas achieved conception spontaneously. First-line surgery for ovarian endometriotic cysts appears associated with a...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1333478

    authors: Berlanda N,Vercellini P,Somigliana E,Frattaruolo MP,Buggio L,Gattei U

    更新日期:2013-03-01 00:00:00

  • Evaluation of a Center of Research Excellence in Polycystic Ovary Syndrome as a Large-Scale Collaborative Research Translation Initiative, Including Evaluating Translation of Guideline Impact.

    abstract::Research translation and evaluation are often underconsidered in research design and implementation thus limiting research benefit to the end user. In this article, we first describe a best practice approach to evaluation, for a center of research excellence in polycystic ovary syndrome. Within this, we outline a comp...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章

    doi:10.1055/s-0038-1667308

    authors: Garad R,Kozica-Olenski S,Teede HJ

    更新日期:2018-01-01 00:00:00

  • Genetic disorders related to male factor infertility and their adverse consequences.

    abstract::Assisted reproductive techniques have revolutionized the treatment of male reproductive failure, allowing biological fatherhood to be achieved by many men that nature would have never permitted. As we are able to help more and more couples with our therapies, the genetic basis of the man's spermatogenic, anatomical, o...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1307418

    authors: Harnisch B,Oates R

    更新日期:2012-04-01 00:00:00

  • The Impact and Management of Subclinical Hypothyroidism for Improving Reproductive Outcomes such as Fertility and Miscarriage.

    abstract::Subclinical hypothyroidism has been found to be associated with adverse reproductive outcomes, such as infertility, miscarriage, preterm birth, and complications of pregnancy. Multiple studies have investigated the relationships between thyroid function, thyroid antibodies, fertility, and pregnancy. Thyroid autoimmuni...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1593487

    authors: Seungdamrong A

    更新日期:2016-11-01 00:00:00

  • Medical therapy of endometriosis.

    abstract::The medical treatment of endometriosis is a critical aspect of the therapeutic approach to this disease. Past methods have been based upon systemic hormonal alterations, resulting in suppression of this estrogen-responsive disorder. Treatments such as danazol, progestogens, oral contraceptives, GnRH-agonists, and gest...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41327

    authors: Olive DL

    更新日期:2003-05-01 00:00:00

  • Uterine receptivity and the ramifications of ovarian stimulation on endometrial function.

    abstract::Controlled ovarian stimulation (COS) is widely used in assisted reproduction techniques (ART). However, hormonal treatment induces endometrial alterations that may alter implantation rates compared with natural cycles. Endometrial alterations have been observed by histological and biochemical techniques. The recent de...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-991043

    authors: Horcajadas JA,Díaz-Gimeno P,Pellicer A,Simón C

    更新日期:2007-11-01 00:00:00

  • Corticosteroids and pregnancy.

    abstract::Pregnancy results in major changes in the hypothalamo-pituitary-adrenal (HPA) axis, which in turn influence fetal growth and the timing of labor. From the beginning of the second trimester maternal cortisol secretion increases, and in late pregnancy the placenta, in large part mediated through corticotroph-releasing h...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-36710

    authors: Trainer PJ

    更新日期:2002-11-01 00:00:00

  • The impact of bariatric surgery on obesity-related infertility and in vitro fertilization outcomes.

    abstract::Obesity-related infertility is one of the most common problems of reproductive-age obese women who desire childbearing. The various types of bariatric surgeries have proved effective in controlling excessive weight gain, improving fertility, and preventing certain maternal and fetal complications in these women. This ...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328880

    authors: Tan O,Carr BR

    更新日期:2012-12-01 00:00:00

  • Insights from the Women's Health Initiative: individualizing risk assessment for hormone therapy decisions.

    abstract::Identifying appropriate candidates for menopausal hormone therapy (HT) is challenging given the complex profile of risks and benefits associated with treatment. Most professional societies agree that HT should not be used for chronic disease prevention. Recent findings from the Women's Health Initiative and other rand...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1384626

    authors: Wild RA,Manson JE

    更新日期:2014-11-01 00:00:00

  • Embryo nutrition and energy metabolism and its relationship to embryo growth, differentiation, and viability.

    abstract::Over the past decade there has been a resurgence of interest in the culture media used in clinical in vitro fertilization. Unfortunately, during this time more confusion than consensus appears to have developed regarding the composition of these media. In order to facilitate a clearer understanding of this field, it i...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-12559

    authors: Gardner DK,Pool TB,Lane M

    更新日期:2000-01-01 00:00:00

  • Mixed signals: development of the testis.

    abstract::Induction and patterning of the testis occurs over a brief window of time. Before male-specific morphogenesis, the gonad primordium is bipotential and capable of developing into either an ovary or testis. However, expression of the transcription factor SRY initiates male development and induces patterning, proliferati...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1108005

    authors: Cool J,Capel B

    更新日期:2009-01-01 00:00:00

  • Medical Management of Endometriosis in Patients with Chronic Pelvic Pain.

    abstract::Endometriosis is a common cause of pelvic pain in women of reproductive age. Traditional medical therapies are hormonal in nature, including estrogen-progestin contraceptives, progestins, and gonadotropin-releasing hormone (GnRH) agonists. Other hormonal options are androgens and aromatase inhibitors, with research al...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1597308

    authors: Bedaiwy MA,Allaire C,Yong P,Alfaraj S

    更新日期:2017-01-01 00:00:00

  • In vitro maturation of oocytes.

    abstract::In vitro maturation of oocytes is a safe and effective treatment offered in some fertility centers for assisted reproduction, where immature oocytes are retrieved from unstimulated ovaries. Therefore, the procedure avoids ovarian stimulation with expensive gonadotropins, side effects of the medications, and risks such...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-872452

    authors: Rao GD,Tan SL

    更新日期:2005-08-01 00:00:00

  • Microbiota and pelvic inflammatory disease.

    abstract::Female genital tract microbiota play a crucial role in maintaining health. Disequilibrium of the microbiota has been associated with increased risk of pelvic infections. In recent years, culture-independent molecular techniques have expanded understanding of the composition of genital microbiota and the dynamic nature...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1361822

    authors: Sharma H,Tal R,Clark NA,Segars JH

    更新日期:2014-01-01 00:00:00

  • Cyclic remodeling of the nonhuman primate endometrium: a model for understanding endometrial receptivity.

    abstract::Old World monkeys display physiological responses to steroid hormones that are similar to those of women. In this review, we describe cyclic morphological changes that take place within the uterus of Old World primates during the menstrual cycle. In primates, estrogen stimulates endometrial growth in the follicular ph...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1376357

    authors: Slayden OD

    更新日期:2014-09-01 00:00:00

  • Contraception in the Developing World: Special Considerations.

    abstract::The United States Agency for International Development (USAID) estimates that there are 225 million women and girls with unmet contraceptive need yearly. Unmet need for contraception is defined as women who desire a delay in childbearing and are not using a modern method of contraception. It is projected that providin...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1571437

    authors: Schivone GB,Blumenthal PD

    更新日期:2016-05-01 00:00:00

  • Management of abnormal uterine bleeding in low- and high-resource settings: consideration of cultural issues.

    abstract::In non industrialized countries the incidence of heavy menstrual bleeding (HMB) appears to be similar to that of industrialized countries, although data is scanty. In low-resource settings, women with abnormal uterine bleeding (AUB) often delay seeking medical care because of cultural beliefs that a heavy red menstrua...

    journal_title:Seminars in reproductive medicine

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1287668

    authors: Haththotuwa R,Goonewardene M,Desai S,Senanayake L,Tank J,Fraser IS

    更新日期:2011-09-01 00:00:00