TO THE QUESTION OF GENDER-SPECIFIC HEALTHCARE FOR THE MILITARY WOMEN IN THE CURRENT CONDITIONS

  • O.V. Burlaka
  • N.A. Verba
  • V. Vagner
Keywords: military women, gender-specific healthcare, optimization of treatment and prevention of women’s reproductive health disorders

Abstract

The relevance of the work is conditioned by the increased security requirements considering the health of female military personnel due to the global trend enhancing the role of women in security and defence.
The purpose of the study was to analyze foreign and local scientific publications about gender-specific health care issues for women military personnel in today’s conditions.
According to the analysis of literary sources, the participation of women in military action increases the risks of developing serious physical injuries, post-traumatic stress disorders and disorders of reproductive health. At the same time, the number of messages about research on gender-specific healthcare in modern conditions, female soldiers is significantly limited. According to the gained data, today there is a necessity in studying issues of sexual abuse, unplanned pregnancies, access to contraception and prevention of stress-induced reproductive health disorders for military women in order to elaborate clinical guidelines based on principles of evidence-based medicine. Optimization of prevention and treatment of reproductive health disorders for Ukrainian military women requires the use of experience obtained under the conditions of the Anti-terrorist
Operation /Joint Forces Operation, and the adaptation of the experience of NATO countries to tackling gender-specific medical problems and maintaining women’s health in the following years 

References

1. Наказ Міністерства оборони України від 03.06.2016 №292 “Про затвердження змін до тимчасових переліків військово-облікових спеціальностей і штатних посад рядового,
сержантського і старшинського складу і штатних посад рядового, сержантського і старшинського складу та військовослужбовців-жінок і тарифних переліків посад вищезазначених військовослужбовців”.
2. Постанова Кабінету міністрів України від 31.10.2018 р. №910 «Про затвердження Воєнномедичної доктрини України». https:// zakon.rada.gov.ua/laws/show/910-2018-%D0%BF
3. Andrea C. Ippolito, Amber D. et al. Risk factors associated with miscarriage and impaired fecundity among United States servicewomen during the recent conflicts in Iraq and Afghanistan. Women’s Health Issues. 2016; 27(3):356-65.
4. Kristin M. Mattocks, Melissa Skanderson, Joseph L. Goulet, et al. Pregnancy and Mental Health Among Women Veterans Returning from Iraq and Afghanistan. J Womens Health. 2010; 19(12): 2159–2166.
5. Sayers SL, Farrow VA, Ross J, Oslin DW. Family problems among recently returned military veterans referred for a mental health evaluation // J Clin Psychiatry. 2009; 70: 163–170.
6. Bean-Mayberry B, Yano EM, Washington DL, Goldzweig C, Batuman F, Huang C, et al. Systematic review of women veterans’ health: update on successes and gaps. Womens Health Issues. 2011; 21: 84–97.
7. McGraw K, Koehlmoos TP, Ritchie EC. Women in Combat: Framing the Issues of Health and Health Research for America’s Servicewomen. Military medicine. 2016; 181(1): 7-11.
8. Thiel M, Evans S, Sawdy R. Women’s healthcare consultations on operations: a multidisciplinary provider questionnaire. J R Army Med Corps. 2017; 163(6): 394-396.
9. Розпорядження Кабінету Міністрів України від 24.02.2016 № 113-р “Про затвердження Національного плану дій з виконання резолюції Ради Безпеки ООН 1325 “Жінки, мир, безпека” на період до 2020 року”. http://zakon.rada.gov.ua/laws/show/ 113-2016-%D1%80
10. Krulewitch C.J. Reproductive Health of Active Duty Women in Medically Austere Environments. Military medicine. 2016;181(1): 63-69.
11. Воєнно-польова хірургія / За ред. Я.Л.Заруцького, В.Я.Білого – К.: Фенікс, 2019. – 552 с.
12. Lisa A. Braun, Holly P. Kennedy, Julie A. Womack, Candy Wilson. Integrative Literature Review: U.S. Military Women’s Genitourinary and Reproductive Health. Military medicine. 2016;181(1): 35-49.
13. Ponder KL, Nothnagle M. Damage control: unintended pregnancy in the United States military. J Law Med Ethics. 2010; 38(2): 386-395.
14. Burlaka O., Tatarchuk T. The therapeutic possibilities of continuous mode of oral contraceptives for Ukrainian military women in ATO zone. Gynecological endocrinology. 2016; 38(1): 58-59.
15. Christopher L.A., Miller L. Women in War: Operational Issues of Menstruation and Unintended Pregnancy. Military medicine. 2007; 172(1): 9-16.
16. Чернявская Т.П. Совершенствование организации гинекологической помощи в условиях военного гарнизона : автореф. дис канд. мед. наук: 14.00.01. Санкт-Петербург, 2004, 28с. http:// www.dissercat.com/content/sovershenstvovanieorganizatsii-ginekologicheskoi-pomoshchi-vusloviyakh-voennogo-garnizona#ixzz5iR7033G6.
17. Biggs RL, Douglas BH, O’Boyle AL, Rieg TS: The impact of pregnancy on the individual and military organization: a postpartum active duty survey. Military medicine. 2009; 174(1): 61–75.
18. Thiel M1, Evans S2, Sawdy R3. Women’s healthcare consultations on operations: a multidisciplinary provider questionnaire. J R Army Med Corps. 2017; 163(6): 394-396.
19. Access to Reproductive Health Care -Service Women’s Action Network , Report, 2018. https://www.servicewomen.org/wp-content/ uploads/2018/12/2018ReproReport_SWAN-2.pdf
20. Holt K, Grindlay K, Taskier M, Grossman D: Unintended pregnancy and contraceptive use among women in the U.S. military: a systematic literature review. Military medicine. 2011; 176(9): 1056–1064.
21. Goyal V, Borrero S, Schwarz EB: Unintended pregnancy and contraception among active-duty servicewomen and veterans // Am J Obstet Gynecol. 2012; 206(6): 463–469.
22. Paula Adams Hillard. Menstrual suppression: current perspectives. International Journal of Women’s Health. 2014; 6: 631–637.
23. Burlaka, O., Chaban, O., Bezsheiko, V., The Relationship between Indicators of Mental and reproductive Health among Military Servicewomen Deployed in the Current War Zone in Eastern Ukraine. The 8th annual conference of the Canadian Institute for Military and Veteran Health Research/CIMVHR FORUM. Abstracts. 2017, Р.6. https://cimvhr.ca/
documents/forum-abstracts-2017.pdf
24. McGraw K. Gender Differences Among Military Combatants: Does Social Support, Ostracism, and Pain Perception Influence Psychological Health. Military medicine. 2016; 181(1): 80-85.
Published
2019-07-01
How to Cite
Burlaka, O., Verba, N., & Vagner, V. (2019). TO THE QUESTION OF GENDER-SPECIFIC HEALTHCARE FOR THE MILITARY WOMEN IN THE CURRENT CONDITIONS. Ukrainian Journal of Military Medicine, 19(2), 61-66. Retrieved from https://ujmm.org.ua/index.php/journal/article/view/75