![]() ![]() #Hugin review trialThe objective was to investigate mifepristone as a potential adjunct to cervical preparation for surgical abortion after 19weeks of gestation, with the aim of improving procedure access, convenience and comfort.This is a site-stratified, block-randomized, noninferiority trial of 50 women undergoing surgical abortion between 19 and 23 6/7weeks of gestation randomized to receive either one set of osmotic dilators plus mifepristone the day prior to procedure (mifepristone group) or two sets of osmotic dilators (placed 18-24 h apart) in the 2 days prior to procedure (control group). Current effort to coordinate VA and non-VA care for Veteran mothers is warranted. Additional research is needed to explore upstream factors leading to these poorer outcomes. ![]() Additionally, Veterans' infants (compared with non-Veterans') were more likely to require NICU care. ![]() In the most contemporary large study, relying on California birth data, Veterans who relied on VA for their health care coverage were high risk, with increased rates of preeclampsia and Cesarean delivery. Emerging research suggests that the unique health profiles of pregnant Veterans, including prevalent posttraumatic stress disorder, predict increased risk of preterm birth, preeclampsia, and gestational diabetes. Accordingly, there is new attention to their reproductive risks and needs-evidenced by recent research and programmatic efforts within the VA. As poor mental health is known to predict poorer maternal and infant sequelae, there are unique concerns around perinatal outcomes in Veterans. women Veterans returning from deployment carry a high burden of physical and mental health conditions, and often trauma. Here, we review the limited but growing research regarding Veterans' pregnancy and obstetric outcomes. In the post-9/11 era, the number of young women serving, and deploying, in the military grew rapidly as they exit service, there is tremendous increase in reproductive-aged women Veterans. ![]()
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