2.50
Hdl Handle:
http://hdl.handle.net/10755/150648
Type:
Presentation
Title:
Comparison of Vaginal Deliveries Outcomes Among Different Races
Abstract:
Comparison of Vaginal Deliveries Outcomes Among Different Races
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Truax, Jennifer, RN, MSN
P.I. Institution Name:Inova Fairfax Hospital
Title:Clinical Specialist
Co-Authors:Jung-Tzu Lin, RN, MSN
Background: Most pregnant women desire a spontaneous vaginal delivery without any complications. Due to biological and social-economic variances, race has been identified as an important factor associated with pregnancy outcomes and perineal trauma during vaginal deliveries. However, vaginal deliveries outcomes within multiple races have been scarce in the literature. Purpose: To compare the outcomes of vaginal deliveries among different races.  Methods: This was a correlational study included Hispanic, Caucasian, Asian and African American women. The sample consisted of all vaginal deliveries with live neonates of at least 20 weeks gestation during February and March 2005. The deliveries occurred at a large tertiary hospital with over 11,000 deliveries each year. Data were collected by chart review. Outcomes measured were gestational age, baby?s weight, length of second stage of labor, use of instruments, rate of episiotomy, and perineal lacerations. Descriptive and correlation statistics were used to analyze the data. Results: A total of 781 women were included in this study (302 Hispanic, 289 Caucasian, 130 Asian, and 60 African American). There was no significant difference in gestational age among different races. There were significant differences among Hispanic, Caucasian, Asian, and African American women in baby?s weight (3313 vs 3429 vs 3245 vs 3256 gm, P<.000), length of second stage of labor (46.2 vs 57.3 vs 60.5 vs 44.3 mins, p<.05), use of instrument (8.9% vs 13.5% vs, 21.5% vs 20%, p<.002), and episiotomy rate (12%, 39%, 54% and 38%, p<.000). Although not found to be statistically significant, the rate of 3 & 4 degree lacerations were 5%, 9%, 11% and 7% respectively (p=.145).Women with an episiotomy were more likely to have 3rd or 4th degree lacerations (?2=218.9, P<.000). Conclusion: These results show the variance of delivery outcomes and indicate the need of individualized prenatal and antenatal care for different races.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of Vaginal Deliveries Outcomes Among Different Racesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150648-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Vaginal Deliveries Outcomes Among Different Races</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Truax, Jennifer, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Inova Fairfax Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jennifer.truax@inova.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jung-Tzu Lin, RN, MSN</td></tr><tr><td colspan="2" class="item-abstract">Background: Most pregnant women desire a spontaneous vaginal delivery without any complications. Due to biological and social-economic variances, race has been identified as an important factor associated with pregnancy outcomes and perineal trauma during vaginal deliveries. However, vaginal deliveries outcomes within multiple races have been scarce in the literature. Purpose: To compare the outcomes of vaginal deliveries among different races.&nbsp; Methods: This was a correlational study included Hispanic, Caucasian, Asian and African American women. The sample consisted of all vaginal deliveries with live neonates of at least 20 weeks gestation during February and March 2005. The deliveries occurred at a large tertiary hospital with over 11,000 deliveries each year. Data were collected by chart review. Outcomes measured were gestational age, baby?s weight, length of second stage of labor, use of instruments, rate of episiotomy, and perineal lacerations. Descriptive and correlation statistics were used to analyze the data. Results:&nbsp;A total of 781 women were included in this study (302 Hispanic, 289 Caucasian, 130 Asian, and 60 African American). There was no significant difference in gestational age among different races. There were significant differences among Hispanic, Caucasian, Asian, and African American women in baby?s weight (3313 vs 3429 vs 3245 vs 3256 gm, P&lt;.000), length of second stage of labor (46.2 vs 57.3 vs 60.5 vs 44.3 mins, p&lt;.05), use of instrument (8.9% vs 13.5% vs, 21.5% vs 20%, p&lt;.002), and episiotomy rate (12%, 39%, 54% and 38%, p&lt;.000). Although not found to be statistically significant, the rate of 3 &amp; 4 degree lacerations were 5%, 9%, 11% and 7% respectively (p=.145).Women with an episiotomy were more likely to have&nbsp;3rd or 4th degree lacerations (?2=218.9, P&lt;.000). Conclusion: These results show the variance of delivery outcomes and indicate the need&nbsp;of individualized prenatal and antenatal care for different races.</td></tr></table>en_GB
dc.date.available2011-10-26T10:38:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:38:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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