Catherine A Sims, Dahima Cintron, Kate Wallace, Aimee Kroll-Desrosiers, Ankoor Shah, Jennifer M Gierisch, Karen M Goldstein, Kristin Mattocks
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引用次数: 0
摘要
背景/目的：女退伍军人（WV）面临着患自身免疫性疾病（AID）的独特风险因素，这可能会增加妊娠并发症的风险。为了描述这一人群的妊娠结局，我们的团队进行了一项描述性病例系列研究：为了从母婴转化结果研究中心（Center for Maternal and Infant Outcomes Research in Translation）的数据集中识别出患有自身免疫性疾病的孕妇，我们使用诊断代码和药物对医疗记录进行了筛选。结果：25 名患有艾滋病的妇女被诊断出患有艾滋病：结果：确定了 25 名患有 AID 的产妇。最常报告的 AID 是炎症性肠病（4 例）、银屑病（4 例）和未分化结缔组织病（4 例）。44%的退伍军人患有妊娠并发症，32%的退伍军人利用退伍军人事务部的亚专科护理来治疗妊娠并发症，40%的退伍军人在怀孕期间没有到退伍军人事务部寻求医疗服务：经确认的妊娠并发症发生率很高，每三名退伍军人中就有一人以上在妊娠期间失去了退伍军人事务部的随访。
Pregnancy Outcomes of Women Veterans with Autoimmune Disease.
Background/objective: Women Veterans (WV) are exposed to unique risk factors for the development of autoimmune diseases (AID), which can increase risk of pregnancy complications. To characterize pregnancy outcomes in this population, our team performed a descriptive case series.
Methods: To identify WV with AID from the Center for Maternal and Infant Outcomes Research in Translation dataset, medical records were screened using diagnostic codes and medications. A protocolized chart review and extraction was performed.
Results: Twenty-five WV with AID were identified. The most frequently reported AID were inflammatory bowel disease (n = 4), psoriasis (n = 4), and undifferentiated connective tissue disease (n = 4). Forty-four percent of WV with AID experienced pregnancy complications, 32% utilized VA subspecialty care for AID management, and 40% did not seek health care at the VA during their pregnancy.
Conclusions: Identified pregnancies had a high frequency of complications with more than one in three Veterans lost to VA follow-up during pregnancy.
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