Abstract: To mark the 20th anniversary of the lifting of the British Armed Forces ‘gay ban’ on 12 January 2020, this book brings together a selection of LGBTQ servicemen and women who have served in the Armed Forces since the Second World War. Their stories are profoundly moving testaments to their loyalty, their courage on the battlefield, and their unswerving sense of right and wrong. Included are ten accounts of members of our Armed Forces who have lived remarkable lives. In some cases they were dismissed in disgrace or forced to resign when asked questions about their private lives. Their stories are those of remarkable sacrifice and courage in their units (and in battle), but who were forced to live in secret before their services were removed at the stroke of a pen after being declared 'no longer required’ or ‘dismissed in disgrace’. These are the stories of the David and Goliath battle for equality, through every court in the UK and Europe. For others their story is one of remarkable careers at the front line of operations worldwide, with accounts of service in the Second World War, the Falklands War, the Gulf Wars and the war in Afghanistan. This book celebrates the lives of servicemen and women who have stood tall and taken their place with pride and dignity in the fighting units of the Royal Navy, Royal Marines, Royal Air Force and the British Army. These are the inspiring stories of people who have created amazing careers and sought and found a welcome denied to so many.
Abstract: Introduction: Persistent inequities exist in obstetric and neonatal outcomes in military families despite universal health care coverage. Though the exact underlying cause has not been identified, social determinants of health may uniquely impact military families. The purpose of this study was to qualitatively investigate the potential impact of social determinants of health and the lived experiences of military individuals seeking maternity care in the Military Health System. Materials and methods: This was an Institutional Review Board-approved protocol. Nine providers conducted 31 semi-structured interviews with individuals who delivered within the last 5 years in the direct or purchased care market. Participants were recruited through social media blasts and clinic flyers with both maximum variation and homogenous sampling to ensure participation of diverse individuals. Data were coded and themes were identified using inductive qualitative research methods. Results: Three main themes were identified: Requirements of Military Life (with subthemes of pregnancy notification and privacy during care, role of pregnancy instructions and policies, and role of command support), Sociocultural Aspects of the Military Experience (with subthemes of pregnancy as a burden on colleagues and a career detractor, postpartum adjustment, balancing personal and professional requirements, pregnancy timing and parenting challenges, and importance of friendship and camaraderie in pregnancy), and Navigating the Healthcare Experience (including subthemes of transfer between military and civilian care and TRICARE challenges, perception of military care as inferior to civilian, and remote duty stations and international care). Conclusions: The unique stressors of military life act synergistically with the existing health care challenges, presenting opportunities for improvements in care. Such opportunities may include increased consistency of policies across services and commands. Increased access to group prenatal care and support groups, and increased assistance with navigating the health care system to improve care transitions were frequently requested changes by participants.