患有自身免疫性疾病的女性退伍军人的妊娠结局。
Pregnancy Outcomes of Women Veterans with Autoimmune Disease.
作者信息
Sims Catherine A, Cintron Dahima, Wallace Kate, Kroll-Desrosiers Aimee, Shah Ankoor, Gierisch Jennifer M, Goldstein Karen M, Mattocks Kristin
机构信息
Department of Medicine, Durham Veterans Affairs Healthcare System, Durham, North Carolina, USA.
Division of Rheumatology, Department of Medicine, Duke University, Durham, North Carolina, USA.
出版信息
Womens Health Rep (New Rochelle). 2024 Sep 6;5(1):650-657. doi: 10.1089/whr.2024.0078. eCollection 2024.
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 ( = 4), psoriasis ( = 4), and undifferentiated connective tissue disease ( = 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.
背景/目的：女性退伍军人（WV）面临自身免疫性疾病（AID）发展的独特风险因素，这会增加妊娠并发症的风险。为了描述该人群的妊娠结局，我们团队进行了一项描述性病例系列研究。
方法
为了从母婴结局转化研究中心的数据集中识别患有AID的WV，使用诊断代码和药物对医疗记录进行筛选。进行了标准化的图表审查和数据提取。
结果
确定了25名患有AID的WV。最常报告的AID是炎症性肠病（=4）、银屑病（=4）和未分化结缔组织病（=4）。44%患有AID的WV经历了妊娠并发症，32%利用退伍军人事务部（VA）的专科护理进行AID管理，40%在怀孕期间未在VA寻求医疗护理。
结论
已识别的妊娠并发症发生率很高，超过三分之一的退伍军人在怀孕期间失去了VA的随访。
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