Journal of perinatology : official journal of the California Perinatal Association · 2016
Factors associated with high-risk rural women giving birth in non-NICU hospital settings.
СтатьяПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Kozhimannil K B, Hung P, Casey M M, Lorch S A
Аннотация
OBJECTIVE: To identify risk factors for childbirth in a facility without neonatal intensive care unit (NICU) capacity among high-risk rural women.
STUDY DESIGN: Using data on all maternal hospitalizations for rural residents in nine states (2010, 2012), we performed logit regression, focusing on women with multiple gestation and preterm birth. We defined a 'Локально' hospital as any maternity hospital within 30 miles (or the nearest hospital).
RESULTS: Rural women with preterm births and multiple gestation pregnancies were less likely to give birth in a hospital with NICU capacity if no local hospital had this capacity. Adjusted odds of giving birth in a NICU hospital were lower among women ⩽age 20 (AOR 0.87 (95% CI 0.77, 0.98)), Medicaid beneficiaries (0.81 (0.75, 0.89)), uninsured women (0.44 (0.32, 0.61)) and black women (0.60 (0.50, 0.71)).
CONCLUSIONS: Among high-risk rural pregnant women without local NICU access, younger, low-income, and black women had lower odds of using NICU hospitals.
STUDY DESIGN: Using data on all maternal hospitalizations for rural residents in nine states (2010, 2012), we performed logit regression, focusing on women with multiple gestation and preterm birth. We defined a 'Локально' hospital as any maternity hospital within 30 miles (or the nearest hospital).
RESULTS: Rural women with preterm births and multiple gestation pregnancies were less likely to give birth in a hospital with NICU capacity if no local hospital had this capacity. Adjusted odds of giving birth in a NICU hospital were lower among women ⩽age 20 (AOR 0.87 (95% CI 0.77, 0.98)), Medicaid beneficiaries (0.81 (0.75, 0.89)), uninsured women (0.44 (0.32, 0.61)) and black women (0.60 (0.50, 0.71)).
CONCLUSIONS: Among high-risk rural pregnant women without local NICU access, younger, low-income, and black women had lower odds of using NICU hospitals.