This is a valid question and something that units rarely deal with so there is usually a bit of an education process involved in the matter. There are several regulations and manuals that deal with pregnancy and the issues involved with it. These regulations include: AR 350-1, AR 600-9, FM 7-22, and TG 255A-E.
Since the Soldier is in the National Guard, the Soldier should take their civilian medical documentation to a military doctor and have them verify the medical condition and then the military doctor should fill out a military profile (DA Form 3349). This should be all that is required to ensure your spouse receives the required recovery time.
I believe the regulation that specifically addresses the issue is AR 350-1
EXTRACT AR 350-1
Soldiers who are pregnant or who are recovering from childbirth are exempt from regular unit physical fitnesst raining and APFT testing for the duration of the pregnancy and 180 days past pregnancy termination.
(a) Pregnant and postpartum Soldiers must be cleared by their health care provider prior to participating in any physical fitness training program
The Pregnancy/Postpartum Physical Training (PPPT) Program is designed to maintain health and fitness levels of pregnant Soldiers and to assist them in returning to pre-pregnancy fitness levels after pregnancy termination and successfully integrate them back into unit physical fitness training programs with an emphasis on passing required
fitness standards and height/weight standards
Senior commanders, as the functional proponent, will ensure that all eligible Soldiers participate in the PPPT Program and that personnel are available to conduct the physical training portion of the PPPT Program for the pregnant/postpartum soldier in a manner that is consistent with the content, standards, policies, procedures, and responsibilities as set forth in the U.S. Army Center for Health Promotion and Preventative Medicine (USACHPPM) Technical Guide series 255A–E, U.S. Army Pregnancy Postpartum Physical Training Program manuAL
EXTRACT FM 7-22:
RECOVERY FROM INJURY, ILLNESS, OR MEDICAL CONDITION
6-6. Soldiers recovering from injury, illness, or other medical conditions must train within the limits of their medical profiles (DA Form 3349 [Physical Profile]) and be afforded a minimum train-up period of twice the length of the profile. Prescribed train-up periods must not exceed 90 days before APFT administration or other unit physical readiness goal requirements according to AR 350-1
RESERVE COMPONENT & REMOTELY LOCATED SOLDIERS
4-24. Reserve component Soldiers, geographically remote Soldiers, and those assigned to installations with a small population of pregnant Soldiers may use the materials designed for an individualized PPPT program. These are available from USAPHC.
4-25. Soldiers diagnosed as pregnant or who are recovering from childbirth are exempt from regular unit physical training and APFT for the duration of the pregnancy and 180 days past the end of their pregnancy. These Soldiers are required to enroll in the Army PPPT Program. Before they may participate in the physical training portions of the PPPT program, they must receive clearance to do so from their health care provider. Before they start convalescent leave, postpartum Soldiers receive a postpartum profile. This 45-day temporary profile starts the day of the birth or end of the pregnancy. It specifies that the Soldier may engage in physical training at her own pace. Soldiers are encouraged to use the at-home component of the Army PPPT Program while on convalescent leave. Postpartum Soldiers may return to regular unit physical training before 180 days after the end of their pregnancy, but must receive health care provider clearance to do so.
EXTRACT AR 600-9
paragraph 3–15. Pregnancy
a. Personnel who meet this regulation’s standards and become pregnant will be exempt from the standards for the duration of the pregnancy plus the period of 180 days after the pregnancy ends.
You may also find this related post useful. Can I require a Soldier to weigh in if they had a miscarriage?
To ensure the health and safety of your spouse she should check into the Postpartum Physical Training (PPPT) Program.
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