Women and Maternal Health Flashcards
Pregnancy
effects of condition on aviation
effects of aviation on condition
Condition on aviation
- Physical size
- hyper dynamic state
- vasodilator
Aviation on condition
- hypoxia
- G - abruption
- thermoregulation
- trauma
Risk to fetus from aviation environment
Hypoxia trauma vibration cosmic radiation smoke and fumes, other toxins
Military aeromedical disposition for pregnancy
Unfit deployment
- J33
CASA aeromedical disposition for pregnancy
Class 1 &2 - license suspended from 30 weeks gestation or from time of premature labour, miscarriage, TOP. until DAME determines fit to fly again
Class 3 - as above but can have weekly antenatal and DAME review from 31-38 week
- unrestricted controller must be available
Contraception
condition on aviation
aviation on condition
Condition on aviation
- hormonal effects
- irregular bleeding
- VTE risk
Aviation on condition
- missed pills
aeromedical consideration of treatment for infertility
Military
Repeated periods of TMUFF 1 month after injections or procedures
frequent specialist review
IR implications
likely UAMECR to fit to fly with medication
CASA
minimal impact provided condition is effectively managed
Menstruation conditions aeromedical disposition for military and CASA
TMUFF if severe symptoms, surgery, hormones, NSAIDs
if recurrent TMUFF monthly may need MECR and long term management
CASA
- as long as symptoms controlled and medication ok then they are ok.
Enodmetrosis military aeromedical disposition and CASA
TMUFF for pain, initiation of treatment, post surgical, if frequent then MECR
Ultimate AMECR outcome case by case
CASA
- if symptoms controlled and medications acceptable then ok
PCOS aeromedical disposition in military and CASA
Condition on aviation
- metabolic syndrome issues, pelvic pain nd cognitive and psychological elements
aviation on condition: diet and lifestyle interventions
TMUFF in initial investigation and for initiation of mx
UAMECR for hormonal mx
IAMECR or EMECR for complex cases, unresponsive to management
CASA happy if symptoms controlled and medication acceptable
Uterine fibroids aeromedical disposition military and CASA
TMUFF requirement is case by case
AMECR outcome depends on choice and effectiveness of treatment
CASA
- impact on civilian medical certificate
- information/reports required
- likely disposition