TRENDS IN FETAL MORTALITY IN UTAH, AN ANALYSIS OF培训教程文件.pptVIP

TRENDS IN FETAL MORTALITY IN UTAH, 1993-2002: AN ANALYSIS OF ETHNIC AND RACIAL DIFFERENCES Shaheen Hossain, PhD1 Robert Silver, MD2 Robert Satterfield, Mstat1 Nan Streeter, MS, RN1 Pete Barnard, MS, CNM1 Ned Wilde, BS1 Background Fetal deaths account for a substantial portion of perinatal mortality in the U.S. Nationally, fetal death rates for Black women are twice as high compared to White women (12.1 vs 5.3).* Despite overall declines in fetal death rates, racial/ethnic disparities in fetal death rates have remained relatively unchanged. Fetal death rates, Utah vs U.S. 1993-2002 Fetal death rates by maternal race/ethnicity, Utah 1993-2002 A wide disparity exists in fetal mortality rates among different racial and ethnic populations. Population proportions*, Utah 1970-2000 The demographic changes that are expected in the future magnify the importance of addressing disparities in health status. Purpose This study was conducted to examine the impact of maternal race/ethnicity on fetal death. Study question Methods Primary variables Outcome variable: Fetal death (Death that occurs at 20 or more weeks of gestation) Primary independent variable: Maternal race/ethnicity Non Hispanic Whites Non Hispanic Blacks Hispanics American Indians / Alaskan Natives Other variables Maternal age (≤19, 20-34, ≥35) Education (high school, high school, high school) Marital status (married or unmarried) Parity (0, 1-3, 4 or more) Tobacco use during pregnancy (yes/no) PNC visits (some vs none) Clinical gestational age (20-23, 24-27, 28-31, 32-36, ≥37) Maternal medical conditions (hypertensive disorders, diabetes, eclampsia) Pregnancy / labor complications (PROM, abruptio placenta, cord prolapse, placenta previa) Statistical analysis Descriptive statistics Bivariate analysis Multivariate logistic regressions Fetal death rate calculation Results Study population 419,486 singleton births* Fetal deaths: 1,653** Overall fetal death rate: 3.9+ Distribution of b