Wellness intervention with pregnant soldiers.

作者: Wendy Lombardi , Suzanne Wilson , Judy B. Peniston

DOI: 10.1093/MILMED/164.1.22

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摘要: The purpose of this study was to measure the effects that wellness program intervention for pregnant soldiers, exercise and/or education, had on methods delivery, pregnancy outcomes, rates complications, Army Physical Fitness Test scores, and labor delivery costs. consisted a retrospective review analysis 823 active duty obstetric newborn records, 181 411 initial 148 postpartum subjective questionnaires. Data were collected from records soldiers who delivered at Madigan Medical Center (Tacoma, Washington) between January 1992 December 1994. Group I (N = 211) included received intervention, group II 147) those did not receive intervention. Limited data before offered post constituted III, historical control 413). IV high-risk population 52) during program. also divided into additional subgroups ascertain if one aspect (i.e., versus education) influenced any or all dependent variables. A soldier's excluded terminated 20 weeks gestation it multiple gestation. Demographic variables compared using multivariate evaluate effect independent variable, Results indicated infants participants proportionately increased gestational age birth weight, with reduced incidence complications fetal bradycardia, hyperbilirubinemia, preeclampsia, premature labor. Likewise, African-American female in study, assessed other studies as group, lower low weight when they participated Of clinical interest, appeared though shortened duration number neonatal intensive care unit admissions days, which resulted health

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