ArticleJournal of women's health (2002)2014
Gestational diabetes and hypertensive disorders of pregnancy among women veterans deployed in service of operations in Afghanistan and Iraq.
Article in Journal of women's health (2002), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017.Seminars in reproductive medicine · 2018Pooled it
- The impact of mental health disorders in pregnancy on obstetric and neonatal outcomes: A narrative review.Brain, behavior, & immunity - health · 2026Review
- Adverse perinatal events are associated with postpartum depression and anxiety in women veterans.Journal of mood and anxiety disorders · 2026Article
- Hypertension Prevalence, Diagnosis, and Management for Post-9/11 US Veterans.Journal of the American Heart Association · 2026Article
- Associations of age at T2D detection with hemoglobin A1c in a national inception cohort of U.S. Veterans with diabetes.Diabetes research and clinical practice · 2025Article
- Posttraumatic Stress Disorder and Pregnancy Outcomes.O&G open · 2025Article
- Environmental and occupational risks to reproductive health in women service members and veterans.Frontiers in public health · 2025Review
- Development of the Ready to Care Survey for VA Women's Health Primary Care Provider.Journal of general internal medicine · 2024Article
- Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions.International journal of environmental research and public health · 2023Article
- The impact of military sexual trauma and warfare exposure on women veterans' perinatal outcomes.Psychological trauma : theory, research, practice and policy · 2022Article
- Veteran-Reported Receipt of Prepregnancy Care: Data from the Examining Contraceptive Use and Unmet Need (ECUUN) Study.Maternal and child health journal · 2021Article
- The Impact of Posttraumatic Stress Disorder and Moral Injury on Women Veterans' Perinatal Outcomes Following Separation From Military Service.Journal of traumatic stress · 2020Article
- Selection of Higher Risk Pregnancies into Veterans Health Administration Programs: Discoveries from Linked Department of Veterans Affairs and California Birth Data.Health services research · 2018Observational
- An Evidence Map of the Women Veterans' Health Research Literature (2008-2015).Journal of general internal medicine · 2017Review
- Improving Perinatal Mental Health Care for Women Veterans: Description of a Quality Improvement Program.Maternal and child health journal · 2017Article
- Deployment and Adverse Pregnancy Outcomes: Primary Findings and Methodological Considerations.Maternal and child health journal · 2017Article
- Relationship between depression and diabetes in pregnancy: A systematic review.World journal of diabetes · 2016Article
- Vitamin D deficiency in early pregnancy.PloS one · 2015Article
- Classifying Veterans' pre-pregnancy health risks using latent class analysis.Women's health (London, England)Article
- Expanding Perinatal Care Beyond Obstetrics: The National Veterans Affairs Maternity Care Coordinator Program.Health equityArticle
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
objectiveTo determine the prevalence of gestational diabetes (GDM) and hypertensive disorders of pregnancy (HDP) among women Veterans using Department of Veterans Affairs (VA) maternity benefits previously deployed in service of Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND), and whether pregnancy complications were associated with VA use following delivery.
methodsWe identified the study population through linkage with the Department of Defense roster and VA administrative and clinical data. GDM and HDP were identified by International Classification of Diseases, Ninth Revision codes in VA inpatient or outpatient files. Similarly, we constructed a nationally representative sample of deliveries from the Nationwide Inpatient Sample. We calculated standardized incidence ratios (SIR) adjusted for age and year of delivery to compare rates of GDM and HDP. Proportional hazards regression was used to determine whether pregnancy complications were associated with use of VA following delivery.
resultsBetween 2001 and 2010, 2,288 women OEF/OIF/OND Veterans used VA maternity benefits; 5.2% had GDM and 9.6% had HDP. Compared with women delivering in the United States, women OEF/OIF/OND Veterans using VA maternity benefits had higher risk of developing GDM (SIR: 1.40; 95% confidence interval [CI] 1.16, 1.68) and HDP (SIR: 1.32; 95% CI 1.15, 1.51). Among women OEF/OIF/OND Veterans using VA maternity benefits, GDM (HR 1.01, 95% CI 0.83, 1.24) and HDP (HR 1.07, 95% CI 0.92, 1.25) were not associated with use of VA following delivery.
conclusionsNon-VA providers should be aware of their patients' Veteran status and the associated elevated risk for pregnancy complications. Within VA, focused efforts to optimize Veterans' preconception and postpartum health are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.