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Semin Reprod Med 2018; 36(06): 351-360
DOI: 10.1055/s-0039-1678751
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Department of Defense Birth and Infant Health Research Program: Assessing the Reproductive Health of U.S. Active-Duty Women

Zeina G. Khodr
1   The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
,
Anna T. Bukowinski
1   The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
,
Clinton Hall
1   The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
,
Gia R. Gumbs
1   The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
,
Natalie Y. Wells
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
,
Ava Marie S. Conlin
1   The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland
2   Deployment Health Research Department, Naval Health Research Center, San Diego, California
› Author Affiliations
Further Information

Publication History

Publication Date:
19 April 2019 (online)

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Abstract

As the percentage of women serving in the active-duty military continues to grow, and as their roles continue to expand, the importance of monitoring reproductive health in the military community increases. The Department of Defense Birth and Infant Health Research (BIHR) program conducts ongoing epidemiologic studies to assess potential increased risks for adverse reproductive and infant health outcomes in the military population. Military personnel endure unique physical and mental demands as a part of their occupational duties (e.g., extensive preventive care, numerous trainings, and deployments), which require special consideration as parental exposures in reproductive health research that cannot be well assessed in the general population. From 2003 to 2014, the BIHR program captured 250,604 pregnancies among approximately 2.4 million active-duty women of reproductive age when limited to non-cadet Army, Air Force, Navy, and Marine Corps personnel. Approximately 15,000 live births occurred each year, and the live birth rate ranged from 76.9 per 1,000 in 2003 to 71.0 per 1,000 in 2014. Safety of military-unique preventive measures, environmental exposures, and occupational hazards in pregnancy are summarized herein. Reproductive health is important to our service members and their families, and optimizing the health of military families ultimately contributes to force readiness.

Keywords

active-duty military women - military readiness - military deployment - reproductive health - pregnancy

Disclaimer

Natalie Y. Wells, MD, MPH is a military service member or employee of the U.S. Government. This work was prepared as part of my official duties. Title 17, U.S.C. §105 provides that copyright protection under this title is not available for any work of the U.S. Government. Title 17, U.S.C. §101 defines a U.S. Government work as work prepared by a military service member or employee of the U.S. Government as part of that person's official duties.


Report no. 18–44 was supported by the U.S. Navy Bureau of Medicine and Surgery under work unit no. 60504. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.


The study protocol was approved by the Naval Health Research Center Institutional Review Board in compliance with all applicable Federal regulations governing the protection of human subjects. Research data were derived from an approved Naval Health Research Center, Institutional Review Board protocol number NHRC.1999.0003.