Janvrin Miranda Lynn, Banaag A, Lawry L L, Scott R, Koehlmoos T
Henry M Jackson Foundation for the Advancement of Military Medicine Inc, Bethesda, Maryland, USA
Preventative Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
BMJ Mil Health. 2025 Jan 14. doi: 10.1136/military-2023-002654.
The prevalence of unintended pregnancy (UIP) in the United States is high among active-duty service women (ADSW).
To estimate the number of UIPs and the impact these pregnancies have on the ability to meet Women, Peace and Security objectives as measured by maximum potential readiness days lost (mRDL).
Using data from the Military Health System Data Repository, ADSW aged 18 to 44 years, were identified from fiscal year (FY) 2019 data. Deliveries were identified using Medicare Severity Diagnosis-Related Group codes. The estimated number of UIPs was calculated by multiplying both the number of ADSW and the number of deliveries by age-adjusted rates of UIP. Post partum women do not have to meet height and weight standards or complete a physical fitness test for up to 365 days after a full-term delivery. Lost readiness days were calculated by multiplying the number of UIPs by 365 days. Data were stratified by age, race, rank and branch of service.
A total of 230 596 ADSW were identified in FY2019. Using the number of ADSW, an estimated 12 683 ADSW experienced an unintended pregnancy, resulting in an estimated 4 629 215 mRDL. Using the number of deliveries, an estimated 6785 deliveries were a result of UIPs, resulting in an estimated 2 476 364 mRDL. The highest estimates of UIPs were among ADSW aged 18 to 24 years, of White race, in a Junior Enlisted rank and in the Army.
Estimates of UIPs among ADSW would result in considerable impact on their military career. Dealng with UIPs proactively, by encouraging comprehensive family planning and instituting additional reproductive health policies for service members by ensuring that service members can make informed decisions about their reproductive health while maintaining operational effectiveness, is important for meeting United States Department of Defense Women, Peace and Security objectives.
在美国现役军人（ADSW）中，意外怀孕（UIP）的发生率很高。
估计意外怀孕的数量，以及这些怀孕对实现妇女、和平与安全目标的能力的影响，以最大潜在战备天数损失（mRDL）来衡量。
利用军事卫生系统数据存储库的数据，从2019财年数据中识别出年龄在18至44岁的现役军人。使用医疗保险严重程度诊断相关组代码识别分娩情况。通过将现役军人数量和分娩数量乘以年龄调整后的意外怀孕率来计算意外怀孕的估计数量。产后妇女在足月分娩后长达365天内无需达到身高和体重标准或完成体能测试。通过将意外怀孕数量乘以365天来计算损失的战备天数。数据按年龄、种族、军衔和军种分层。
2019财年共识别出230596名现役军人。根据现役军人数量估计，有12683名现役军人经历了意外怀孕，导致估计4629215个最大潜在战备天数损失。根据分娩数量估计，有6785例分娩是意外怀孕导致的，导致估计2476364个最大潜在战备天数损失。意外怀孕估计数最高的是年龄在18至24岁、白人种族、初级入伍军衔且在陆军服役的现役军人。
现役军人意外怀孕的估计数将对其军事生涯产生重大影响。通过鼓励全面的计划生育，并为军人制定额外的生殖健康政策，确保军人在保持作战效能的同时能够就其生殖健康做出明智的决定，积极应对意外怀孕，对于实现美国国防部妇女、和平与安全目标至关重要。
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