2.50
Hdl Handle:
http://hdl.handle.net/10755/161336
Type:
Presentation
Title:
Racial Disparities in Adverse Maternal Outcomes Among Asthmatic Women
Abstract:
Racial Disparities in Adverse Maternal Outcomes Among Asthmatic Women
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:MacMullen, Nancy, PhD, APN/CCNS
Title:University Professor
Contact Address:Nursing, 5948 Liberty Square, Oak Forest, IL, 60452, USA
Co-Authors:Catherine Davis Tymkow, ND, MS, APN/WHNPC, University Professor; J. J. Shen, PhD, University Professor
The objective of this study is to examine differences in adverse maternal outcomes among women with asthma across four major ethnic groups in the U.S. Population Studied: A total of 13,990 asthma patients identified from 1,058,840 women aged from 13 to 55 who had a delivery in 1998 and 1999, abstracted from the National Inpatient Sample. The asthma rate among women who delivered was 1.3%. Study Design: The race/ethnicity was categorized as Non-Hispanic White (63.7%), African American (24.1%), Hispanic (10.3%), and Asian/Pacific Islander (1.9%). Fourteen adverse maternal outcome measures examined were pre-term labor, hypertensive disorders of pregnancy (3 measures), gestational diabetes, antepartum hemorrhage (2 measures), membrane disorders (2 measures), cesarean section, postpartum hemorrhage, fetal death, uterine tumor and pregnancy longer than 42 weeks. Maternal age and comorbidities were adjusted. Principal Findings: Compared to Non-Hispanic White women: African-American women had a higher risk of having preterm labor (Odds Ratios [ORs] 1.42), infection of the amniotic cavity (OR 1.61) and uterine tumor (OR 2.84); Hispanic women had comparable outcomes except that they were less likely to have a pregnancy longer than 42 weeks (OR 0.55); and Asian / Pacific Islander women had a higher risk of having gestational diabetes (OR 1.77) and infection of the amniotic cavity (OR 3.31). Conclusions: African Americans and Asian/ Pacific Islanders had worse outcomes than Non-Hispanic White women, respectively. There seems to be no disparities in adverse maternal outcomes between Hispanic and Non-Hispanic White women. Implications for Policy, Delivery, and Practice: Public policy and nursing practice initiatives should focus on reducing barriers to obtaining prenatal care, early intervention, and educational programs for African American and Asian/Pacific Islander women in the identified areas of concern: gestational diabetes, pre-term labor, and infections of the amniotic cavity.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRacial Disparities in Adverse Maternal Outcomes Among Asthmatic Womenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161336-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Racial Disparities in Adverse Maternal Outcomes Among Asthmatic Women </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">MacMullen, Nancy, PhD, APN/CCNS</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">University Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nursing, 5948 Liberty Square, Oak Forest, IL, 60452, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Catherine Davis Tymkow, ND, MS, APN/WHNPC, University Professor; J. J. Shen, PhD, University Professor </td></tr><tr><td colspan="2" class="item-abstract">The objective of this study is to examine differences in adverse maternal outcomes among women with asthma across four major ethnic groups in the U.S. Population Studied: A total of 13,990 asthma patients identified from 1,058,840 women aged from 13 to 55 who had a delivery in 1998 and 1999, abstracted from the National Inpatient Sample. The asthma rate among women who delivered was 1.3%. Study Design: The race/ethnicity was categorized as Non-Hispanic White (63.7%), African American (24.1%), Hispanic (10.3%), and Asian/Pacific Islander (1.9%). Fourteen adverse maternal outcome measures examined were pre-term labor, hypertensive disorders of pregnancy (3 measures), gestational diabetes, antepartum hemorrhage (2 measures), membrane disorders (2 measures), cesarean section, postpartum hemorrhage, fetal death, uterine tumor and pregnancy longer than 42 weeks. Maternal age and comorbidities were adjusted. Principal Findings: Compared to Non-Hispanic White women: African-American women had a higher risk of having preterm labor (Odds Ratios [ORs] 1.42), infection of the amniotic cavity (OR 1.61) and uterine tumor (OR 2.84); Hispanic women had comparable outcomes except that they were less likely to have a pregnancy longer than 42 weeks (OR 0.55); and Asian / Pacific Islander women had a higher risk of having gestational diabetes (OR 1.77) and infection of the amniotic cavity (OR 3.31). Conclusions: African Americans and Asian/ Pacific Islanders had worse outcomes than Non-Hispanic White women, respectively. There seems to be no disparities in adverse maternal outcomes between Hispanic and Non-Hispanic White women. Implications for Policy, Delivery, and Practice: Public policy and nursing practice initiatives should focus on reducing barriers to obtaining prenatal care, early intervention, and educational programs for African American and Asian/Pacific Islander women in the identified areas of concern: gestational diabetes, pre-term labor, and infections of the amniotic cavity. </td></tr></table>en_GB
dc.date.available2011-10-26T23:19:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:19:44Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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