{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:07:22Z","timestamp":1780506442569,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare pregnancy outcomes after exposure to military stress in different trimesters of pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of medical records of deliveries in the Wolfson (<jats:styled-content style=\"fixed-case\">WMC<\/jats:styled-content>) and Barzilai (<jats:styled-content style=\"fixed-case\">BMC<\/jats:styled-content>) medical centers in Israel between July 2014 and April 2015. All parturients were exposed to military stress for 51\u00a0days during pregnancy. Pregnancy outcomes were compared between those exposed to military stress in the first or second trimester, and those exposed in the third trimester. Outcomes were also compared between <jats:styled-content style=\"fixed-case\">WMC<\/jats:styled-content> (a new\u2010onset military stress exposure area) and <jats:styled-content style=\"fixed-case\">BMC<\/jats:styled-content> (a chronic military stress exposure area).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At <jats:styled-content style=\"fixed-case\">WMC<\/jats:styled-content>, women exposed in the first or second trimester (n=2657) had a higher rate of preterm delivery (&lt;37\u00a0weeks) as compared with those exposed in the third trimester (n=2037; 214 [8.1%] vs 121 [5.9%]; <jats:italic>P<\/jats:italic>=0.005). At <jats:styled-content style=\"fixed-case\">BMC<\/jats:styled-content>, women exposed in the first or second trimester (n=2208) had a tendency toward lower rates of diabetes mellitus (<jats:italic>P<\/jats:italic>=0.055) and macrosomia [103 (4.7%) vs 84 (6.3%); <jats:italic>P<\/jats:italic>=0.037], as compared with those exposed in the third trimester (n=1337).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Exposure to military stress during pregnancy had different impacts on pregnancy outcomes, depending on the time of exposure and whether continuous exposure to stress occurred.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12885","type":"journal-article","created":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T07:11:00Z","timestamp":1560496260000},"page":"315-320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact on pregnancy outcomes of exposure to military stress during the first or second trimester as compared with the third trimester"],"prefix":"10.1002","volume":"146","author":[{"given":"Ohad","family":"Gluck","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon, affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonti","family":"Grin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Barzilai Medical Center Ashkelon, affiliated to Ben\u2010Gurion University  Ashkelon Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yossi","family":"Mizrachi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon, affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Leytes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon, affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Namazov","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Barzilai Medical Center Ashkelon, affiliated to Ben\u2010Gurion University  Ashkelon Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Anteby","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Barzilai Medical Center Ashkelon, affiliated to Ben\u2010Gurion University  Ashkelon Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Bar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon, affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Kovo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Edith Wolfson Medical Center Holon, affiliated to Sackler School of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0b013e31820eddbe"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-009-0099-9"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2008.366"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.09.035"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2009.01065.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e31816f2709"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.26719\/2014.20.3.175"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/158.12.789"},{"key":"e_1_2_8_10_1","unstructured":"IDF.Operation Protective Edge by numbers. 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