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Medical Support of Women in Military Environments

Medical Support of Women in Military Environments. CAPT Mike Hughey, MC, USNR. Pre-deployment Planning. AMAL/Block Review Command Pregnancy Policy Screen personnel Brief deploying personnel. Supplies: GYN. Specula Light Source Exam Table? Microscope?. Supplies: OB. Wheel

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Medical Support of Women in Military Environments

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  1. Medical Support of Women in Military Environments CAPT Mike Hughey, MC, USNR

  2. Pre-deployment Planning • AMAL/Block Review • Command Pregnancy Policy • Screen personnel • Brief deploying personnel

  3. Supplies: GYN • Specula • Light Source • Exam Table? • Microscope?

  4. Supplies: OB • Wheel • Tape Measure • Doppler • Nitrazine paper • Bedpan

  5. Supplies: Meds and More • BCPs • UTI Meds • Anti-fungal Rx • Metronizazole • UCG • Urine Dipsticks

  6. Command Pregnancy Policy • Ectopic 1/100 • Miscarriage 1/5 • Routine Care • Environmental Hazards • Cultural Issues • Transfer Policy

  7. Pre-deployment Screening • Pap • Acute/Chronic OB-GYN Issues • Contraception • Pregnancy

  8. Pre-deployment Briefing • Urination • Menstruation • Bathing • Quarters • Clothing • Liberty Risks • Leadership • Host Nation • Pregnancy • STDs/Safe Sex

  9. Urination Issues • Unpleasant • Difficult • Time-consuming • Dangerous Consequently, many deployed women intentionally dehydrate, to avoid urination, but with the unintended consequences of: • Decreased Physical Performance • Decreased Mental Alertness • Increased UTIs

  10. Urination Solutions • Command Awareness • Command Response • Freshet • Lady J • Urinate in Tent: • Coffee Can • Ziplock Bag

  11. Menstruation Issues • BCPs help: • Lighten flows • Shorten flows • Less cramps • Less PMS • Pads or Tampons? • Weight • Volume • Convenience • Wicking • Personal Preference • Wet Wipes: 5-6/day

  12. Bathing • Bring own soap • Bring own shampoo • Bring a black, nylon, one-piece bathing suit • Shower facilities may be suboptimal and available only every few days or longer

  13. Quarters in the Field • Mixed-gender • Unit cohesion • Protection • Separate Gender • Privacy • Jealousy • Supervision

  14. Clothing • Personal Preference • Cotton underwear: • Absorbs, breathes • Good for relative inactivity • Bunches into an abrasive mass during exercise • Nylon or other synthetic • Conducts moisture out to the BDUs • Remains relatively dry during vigorous workouts • Not comfortable in bivouac

  15. Liberty Risks • Risk of assault is significant • Male Buddy • Appearance of inappropriate relationship • Alcohol tolerance issues • Female Buddy • Few females • Fewer of the same or similar rank • Command Decision

  16. Host Nation Issues • Conform to local standards of modest behavior & appearance • Avoid being alone with host nation men, particularly in strongly male-dominated countries • Unmarried pregnancy may be a special issue

  17. STDs and Safe Sex • Condoms are good protection against pregnancy, GC, chlamydia, HIV, Hep B, syphilis. • Condoms are not very good protection against herpes or HPV. • Any sexual activity that avoids contact with body fluids of either gender is safer than one that doesn’t. • Sexual abstinence during deployment is the safest.

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