Women and Maternal Health

Question 1

Pregnancy
effects of condition on aviation
effects of aviation on condition

Answer 1

Condition on aviation

• Physical size
• hyper dynamic state
• vasodilator

Aviation on condition

• hypoxia
• G - abruption
• thermoregulation
• trauma

Question 2

Risk to fetus from aviation environment

Answer 2

Hypoxia
trauma
vibration
cosmic radiation
smoke and fumes, other toxins

Question 3

Military aeromedical disposition for pregnancy

Answer 3

Unfit deployment

- J33

Question 4

CASA aeromedical disposition for pregnancy

Answer 4

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

Question 5

Contraception
condition on aviation
aviation on condition

Answer 5

Condition on aviation

• hormonal effects
• irregular bleeding
• VTE risk

Aviation on condition
- missed pills

Question 6

aeromedical consideration of treatment for infertility

Answer 6

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

Question 7

Menstruation conditions aeromedical disposition for military and CASA

Answer 7

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.

Question 8

Enodmetrosis military aeromedical disposition and CASA

Answer 8

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

Question 9

PCOS aeromedical disposition in military and CASA

Answer 9

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

Question 10

Uterine fibroids aeromedical disposition military and CASA

Answer 10

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