Evidence map›Paper›PMID 41000561›Full record

ArticleO&G open2025

Experiences of Birthing Individuals Receiving Perinatal Behavioral Health Care in the Military Health System and Civilian Care With TRICARE Insurance.

Brelahn Wyatt, Rasheda J Vereen, Teri R Ryals, Erin M Blevins, Gayle Haischer-Rollo, Caitlin M Drumm, Carmen N Spalding, Torie C Plowden, Shara M Fuller, Megan G Musilli and 2 more

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Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Brelahn WyattDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Rasheda J VereenDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Teri R RyalsDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Erin M BlevinsDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Gayle Haischer-RolloDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Caitlin M DrummDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Carmen N SpaldingDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Torie C PlowdenDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Shara M FullerDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Megan G MusilliDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Abigail KonopaskyDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Monica A LutgendorfDepartment of Gynecologic Surgery and Obstetrics and the Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Department of Pediatrics, Carl R. Darnall Army Medical Center, Fort Cavazos, Texas; the Department of Gynecologic Surgery and Obstetrics, Navy Medical Readiness and Training Command Bremerton, Bremerton, Washington; the Department of Pediatrics and the Department of Gynecologic Surgery and Obstetrics, Naval Medical Center San Diego, and Sharp Healthcare System, San Diego, California; and the Department of Medical Education, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore birthing individuals' experiences of mental health care in the Military Health System or through TRICARE insurance.

methodsWe conducted a qualitative study. This was an IRB-approved protocol for individuals who delivered within the previous 5 years at military treatment facilities or with TRICARE insurance at civilian hospitals and were recruited for semi-structured qualitative interviews from February 2023 to June 2023. Interviews focused on participants' experiences of care during pregnancy, delivery, and the postpartum period. Purposive and snowball sampling was used to ensure diverse participation. Interviews were recorded and transcribed with deductive coding, and themes were identified until saturation was reached.

resultsThirty-one individuals completed interviews, with 12 main themes identified: importance of support from their obstetric clinician and colleagues, importance of mental health check-ins during pregnancy, challenges accessing care, feelings of dismissiveness regarding mental health needs, inadequate assessment of symptoms, curtailing of symptoms and situational stress, lack of postpartum care, waiting extended periods for postpartum visits, privacy concerns leading to the concealment of symptoms to avoid documentation, concern for the adverse effect on careers, and support from doulas and support groups postpartum. A common theme included the need to improve screening for depression and anxiety.

conclusionThese results indicate varied perinatal mental health care experiences. Some individuals had supportive care, whereas others experienced delays and challenges accessing care despite having universal insurance. Opportunities to improve perinatal behavioral health care include timely access and expanding support programs.

Identifiers

PMID41000561
PMCPMC12456512

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