1 Author Affiliations: Perinatal Clinical Nurse Specialist, (Dr. Lang), Chief Resident, Family Medicine (Dr. Kenney), Director of Medical Education (Dr. Baird), Family Medicine Obstetric Staff Physician (Dr. Yano), Deputy Commander for Inpatient Services (Mr. Cahill), Carl R. Darnall Army Medical Center, Maternal Child Health Department, Ft Cavazos, Texas (Drs Lang, Kenney, Yano, and Baird and COL Cahill); Director for Nursing Pentagon Health Clinic (Dr. Taylor-Campbell), Alexander T. Augusta Military Medical Center, Ft Belvoir, Virginia (Dr Taylor-Campbell); and Uniformed Services University of the Health Sciences, Assistant Professor, Adult-Gerontology Clinical Nurse Specialist Program Graduate School of Nursing, Bethesda, Maryland (Dr Romito).