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23.07.2016

Deployment and Adverse Pregnancy Outcomes: Primary Findings and Methodological Considerations

verfasst von: Jodie Katon, Yasmin Cypel, Mubashra Raza, Laurie Zephyrin, Gayle Reiber, Elizabeth M. Yano, Shannon Barth, Aaron Schneiderman

Erschienen in: Maternal and Child Health Journal | Ausgabe 2/2017

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Abstract

Objective To characterize the pregnancy outcomes of women Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans including prevalence of preterm delivery, low birth weight, and macrosomia, and to highlight methodological limitations that can impact findings. Methods A retrospective cohort study was conducted starting in 2014 analyzing data from the 2009 to 2011 National Health Study for a New Generation of US Veterans, which sampled Veterans deployed and not deployed to OIF/OEF. All pregnancies resulting in a live birth were included, and categorized as occurring among non-deployers, before deployment, during deployment, or after deployment. Outcomes included preterm birth, low birth weight, and macrosomia. The association of deployment with selected outcomes was estimated using separate general estimating equations to account for lack of outcome independence among women contributing multiple pregnancies. Adjustment variables included maternal age at outcome, and race/ethnicity. Results There were 2276 live births (191 preterm births, 153 low birth weight infants, and 272 macrosomic infants). Compared with pregnancies before deployment, pregnancies among non-deployers and those after deployment appeared to have greater risk of preterm birth [non-deployers: odds ratio (OR) = 2.16, 95 % confidence interval (CI) 1.25, 3.72; after deployment: OR = 1.90, 95 % CI 0.90, 4.02]. A similar pattern was observed for low birth weight. No association of deployment with macrosomia was detected. Discussion Compared with non-deployers, those who eventually deploy appear to have better pregnancy outcomes prior to deployment, but this advantage is no longer apparent after deployment. Non-deployers may not be an appropriate reference group to study the putative health impacts of deployment on pregnancy outcomes.

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Abbott, L. C., & Winzer-Serhan, U. H. (2012). Smoking during pregnancy: Lessons learned from epidemiological studies and experimental studies using animal models. Critical Reviews in Toxicology, 42(4), 279–303. doi:10.3109/10408444.2012.658506.CrossRefPubMed

Adegboye, A. R., & Heitmann, B. (2008). Accuracy and correlates of maternal recall of birthweight and gestational age. BJOG, 115(7), 886–893. doi:10.1111/j.1471-0528.2008.01717.x.CrossRefPubMedPubMedCentral

Alexander, G. R., Himes, J. H., Kaufman, R. B., Mor, J., & Kogan, M. (1996). A United States national reference for fetal growth. Obstet Gynecol, 87(2), 163–168. doi:10.1016/0029-7844(95)00386-X. America’s women veterans: Military service history and VA benefit utilization statistics. (2011) Retrieved August 2014, 2014.

Araneta, M. R., Schlangen, K. M., Edmonds, L. D., Destiche, D. A., Merz, R. D., Hobbs, C. A., et al. (2003). Prevalence of birth defects among infants of Gulf War veterans in Arkansas, Arizona, California, Georgia, Hawaii, and Iowa, 1989–1993. Birth Defects Research, Part A: Clinical and Molecular Teratology, 67(4), 246–260. doi:10.1002/bdra.10033.CrossRef

Behrman, R. E., & Butler, A. S. (2007). Preterm birth: Causes, consequences, and prevention. Washington, DC: National Academies Press.

Boulet, S. L., Alexander, G. R., Salihu, H. M., & Pass, M. (2003). Macrosomic births in the United States: Determinants, outcomes, and proposed grades of risk. American Journal of Obstetrics and Gynecology, 188(5), 1372–1378.CrossRefPubMed

Catalano, P. M., McIntyre, H. D., Cruickshank, J. K., McCance, D. R., Dyer, A. R., Metzger, B. E., et al. (2012). The hyperglycemia and adverse pregnancy outcome study: Associations of GDM and obesity with pregnancy outcomes. Diabetes Care, 35(4), 780–786. doi:10.2337/dc11-1790.CrossRefPubMedPubMedCentral

Conlin, A. M., DeScisciolo, C., Sevick, C. J., Bukowinski, A. T., Phillips, C. J., & Smith, T. C. (2012). Birth outcomes among military personnel after exposure to documented open-air burn pits before and during pregnancy. Journal of Occupational and Environmental Medicine, 54(6), 689–697. doi:10.1097/JOM.0b013e31824fe154.CrossRefPubMed

Cowan, D. N., DeFraites, R. F., Gray, G. C., Goldenbaum, M. B., & Wishik, S. M. (1997). The risk of birth defects among children of Persian Gulf War veterans. New England Journal of Medicine, 336(23), 1650–1656. doi:10.1056/NEJM199706053362306.CrossRefPubMed

Doyle, P., Maconochie, N., Davies, G., Maconochie, I., Pelerin, M., Prior, S., et al. (2004). Miscarriage, stillbirth and congenital malformation in the offspring of UK veterans of the first Gulf war. International Journal of Epidemiology, 33(1), 74–86. doi:10.1093/ije/dyh049.CrossRefPubMed

Doyle, P., Maconochie, N., & Ryan, M. (2006). Reproductive health of Gulf War veterans. Philosophical Transactions of the Royal Society of London. Series B, Biological sciences, 361(1468), 571–584. doi:10.1098/rstb.2006.1817.CrossRefPubMedPubMedCentral

Doyle, P., Roman, E., & Maconochie, N. (1997). Birth defects among children of Persian Gulf War veterans. New England Journal of Medicine, 337(16), 1175–1176.PubMed

Eber, S., Barth, S., Kang, H., Mahan, C., Dursa, E., & Schneiderman, A. (2013). The National Health Study for a New Generation of United States Veterans: Methods for a large-scale study on the health of recent veterans. Military Medicine, 178(9), 966–969. doi:10.7205/MILMED-D-13-00175.CrossRefPubMed

Erickson, J. D., Mulinare, J., McClain, P. W., Fitch, T. G., James, L. M., McClearn, A. B., et al. (1984). Vietnam veterans’ risks for fathering babies with birth defects. JAMA, 252(7), 903–912.CrossRefPubMed

Grassi, A. E., & Giuliano, M. A. (2000). The neonate with macrosomia. Clinical Obstetrics and Gynecology, 43(2), 340–348.CrossRefPubMed

Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry, 67(10), 1012–1024. doi:10.1001/archgenpsychiatry.2010.111.CrossRefPubMedPubMedCentral

Health status of Vietnam veterans. III. Reproductive outcomes and child health. The Centers for Disease Control Vietnam Experience Study. (1988). JAMA, 259(18), 2715–2719.

“Healthy deployers”: Nature and trends of health care utilization during the year prior to deployment to OEF/OIF, active components, U.S. Armed Forces, January 2002–December 2006. (2007) Medical Surveillance Monthly Report (Vol. 14, pp. 2–5). Armed Forces Health Surveillance Center.

Kang, H., Magee, C., Mahan, C., Lee, K., Murphy, F., Jackson, L., et al. (2001). Pregnancy outcomes among U.S. Gulf War veterans: A population-based survey of 30,000 veterans. Annals of Epidemiology, 11(7), 504–511.CrossRefPubMed

Kang, H. K., Mahan, C. M., Lee, K. Y., Magee, C. A., Mather, S. H., & Matanoski, G. (2000). Pregnancy outcomes among U.S. women Vietnam veterans. American Journal of Industrial Medicine, 38(4), 447–454. doi:10.1002/1097-0274(200010)38:4<447::AID-AJIM11>3.0.CO;2-J.CrossRefPubMed

Katon, J., Mattocks, K., Zephyrin, L., Reiber, G., Yano, E. M., Callegari, L., et al. (2014). Gestational diabetes and hypertensive disorders of pregnancy among women veterans deployed in service of operations in Afghanistan and Iraq. Journal of Women’s Health, 23(10), 792–800. doi:10.1089/jwh.2013.4681.CrossRefPubMedPubMedCentral

Lash, T. L., & Fink, A. K. (2003). Semi-automated sensitivity analysis to assess systematic errors in observational data. Epidemiology, 14(4), 451–458. doi:10.1097/01.EDE.0000071419.41011.cf.PubMed

Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J., & Mathews, T. J. (2013). Births: Final data for 2011. Natl Vital Stat Rep, 62(1), 1–69, 72.

Morland, L., Goebert, D., Onoye, J., Frattarelli, L., Derauf, C., Herbst, M., et al. (2007). Posttraumatic stress disorder and pregnancy health: Preliminary update and implications. Psychosomatics, 48(4), 304–308. doi:10.1176/appi.psy.48.4.304.CrossRefPubMed

National Center for Veterans Analysis and Statistics. Age/Gender population table. Retrieved February 21, 2014, from http://www.va.gov/vetdata/Veteran_Population.asp.

Olson, J. E., Shu, X. O., Ross, J. A., Pendergrass, T., & Robison, L. L. (1997). Medical record validation of maternally reported birth characteristics and pregnancy-related events: A report from the Children’s Cancer Group. American Journal of Epidemiology, 145(1), 58–67.CrossRefPubMed

Patra, J., Bakker, R., Irving, H., Jaddoe, V. W., Malini, S., & Rehm, J. (2011). Dose-response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)—a systematic review and meta-analyses. BJOG, 118(12), 1411–1421. doi:10.1111/j.1471-0528.2011.03050.x.CrossRefPubMedPubMedCentral

Rosenberger, P. H., Mattocks, K., Brandt, C., & Haskell, S. (2011). Obesity and health comorbidities in OIF/OEF veterans: Early associations. Paper presented at the Academy Health, Seattle, WA.

Rothman, K., Greenland, S., & Lash, T. L. (2008). Modern epidemiology (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Sanderson, M., Williams, M. A., White, E., Daling, J. R., Holt, V. L., Malone, K. E., et al. (1998). Validity and reliability of subject and mother reporting of perinatal factors. American Journal of Epidemiology, 147(2), 136–140.CrossRefPubMed

Savitz, D. A., Hertz-Picciotto, I., Poole, C., & Olshan, A. F. (2002). Epidemiologic measures of the course and outcome of pregnancy. Epidemiologic Reviews, 24(2), 91–101.CrossRefPubMed

Savitz, D. A., & Murnane, P. (2010). Behavioral influences on preterm birth: A review. Epidemiology, 21(3), 291–299. doi:10.1097/EDE.0b013e3181d3ca63.CrossRefPubMed

Shaw, J. G., Asch, S. M., Kimerling, R., Frayne, S. M., Shaw, K. A., & Phibbs, C. S. (2014). Posttraumatic stress disorder and risk of spontaneous preterm birth. Obstetrics and Gynecology, 124(6), 1111–1119. doi:10.1097/AOG.0000000000000542.CrossRefPubMed

Stokes, M. E., Davis, C. S., & Koch, G. G. (2000). Generalized estimating equations categorical data analysis using the SAS ^® system (2nd ed., pp. 471–550). Carey, NC: SAS Institute Inc.

Valero De Bernabe, J., Soriano, T., Albaladejo, R., Juarranz, M., Calle, M. E., Martinez, D., et al. (2004). Risk factors for low birth weight: A review. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 116(1), 3–15. doi:10.1016/j.ejogrb.2004.03.007.CrossRefPubMed

Washington, D. L., Bean-Mayberry, B., Hamilton, A. B., Cordasco, K. M., & Yano, E. M. (2013). Women veterans’ healthcare delivery preferences and use by military service era: Findings from the national survey of women veterans. Journal of General Internal Medicine, 28(Suppl 2), 571–576. doi:10.1007/s11606-012-2323-y.CrossRefPubMedCentral

Wells, T. S., Wang, L. Z., Spooner, C. N., Smith, T. C., Hiliopoulos, K. M., Kamens, D. R., et al. (2006). Self-reported reproductive outcomes among male and female 1991 Gulf War era US military veterans. Maternal and Child Health Journal, 10(6), 501–510. doi:10.1007/s10995-006-0122-y.CrossRefPubMed

Yawn, B. P., Suman, V. J., & Jacobsen, S. J. (1998). Maternal recall of distant pregnancy events. Journal of Clinical Epidemiology, 51(5), 399–405.CrossRefPubMed

Yonkers, K. A., Smith, M. V., Forray, A., Epperson, C. N., Costello, D., Lin, H., et al. (2014). Pregnant women with posttraumatic stress disorder and risk of preterm birth. JAMA Psychiatry, 71(8), 897–904. doi:10.1001/jamapsychiatry.2014.558.CrossRefPubMedPubMedCentral

Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.CrossRefPubMed

Titel: Deployment and Adverse Pregnancy Outcomes: Primary Findings and Methodological Considerations
verfasst von: Jodie Katon
Yasmin Cypel
Mubashra Raza
Laurie Zephyrin
Gayle Reiber
Elizabeth M. Yano
Shannon Barth
Aaron Schneiderman
Publikationsdatum: 23.07.2016
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 2/2017
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-016-2122-x

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