title: Premature labor and birth: influence of rank and perception of fatigue in active duty military women.
abstract: The purpose of this study was to determine whether stress, sleep disturbance, or fatigue at 22 to 26 weeks of gestation is related to the incidence of preterm labor and birth in military women. Data were collected prospectively by questionnaires measuring factors contributing to preterm labor and birth. Hours worked per week were ascertained by telephone until the participants delivered. Postpartum medical records were reviewed for pregnancy outcomes. There was a trend for preterm labor to be associated with lower perceived fatigue severity, low sleep disturbance, and more negative life events. Officer rank was related to both preterm labor and delivery. Findings indicate that the perception of fatigue may be protective against preterm birth and that military officer rank is a risk factor for preterm labor and birth.
authors.affiliation: Department of Family Health Care Nursing, University of California, San Francisco, P.O. Box 0606, San Francisco, CA 94143-0606, USA.
authors.forename: Janice Chiyomi
authors.initials: JC
authors.lastname: Stinson
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D005221:Fatigue / Q000150:complications*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D016015:Logistic Models; D008137:Longitudinal Studies; D008889:Military Personnel; D007752:Obstetric Labor, Premature; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011446:Prospective Studies; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000150:complications*; D013315:Stress, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires; D014481:United States