Details:

Alternative Title:
Matern Child Health J
Personal Author:
de Ravello, Lori ; Folkema, Arianne ; Tulloch, Scott ; Taylor, Melanie ; Reilley, Brigg ; ... More +
de Ravello, Lori ; Folkema, Arianne ; Tulloch, Scott ; Taylor, Melanie ; Reilley, Brigg ; Hoover, Karen ; Holman, Robert ; Creanga, Andreea Less -
Description:
To examine rates of ectopic pregnancy (EP) among American Indian and Alaska Native (AI/AN) women aged 15-44 years seeking care at Indian Health Service (IHS), Tribal, and urban Indian health facilities during 2002-2009. We used 2002-2009 inpatient and outpatient data from the IHS National Patient Information Reporting System to identify EP-associated visits and obtain the number of pregnancies among AI/AN women. Repeat visits for the same EP were determined by calculating the interval between visits; if more than 90 days between visits, the visit was considered related to a new EP. We identified 229,986 pregnancies among AI/AN women 15-44 years receiving care at IHS-affiliated facilities during 2002-2009. Of these, 2,406 (1.05 %) were coded as EPs, corresponding to an average annual rate of 10.5 per 1,000 pregnancies. The EP rate among AI/AN women was lowest in the 15-19 years age group (5.5 EPs per 1,000 pregnancies) and highest among 35-39 year olds (18.7 EPs per 1,000 pregnancies). EP rates varied by geographic region, ranging between 6.9 and 24.4 per 1,000 pregnancies in the Northern Plains East and the East region, respectively. The percentage of ectopic pregnancies found among AI/AN women is within the national 1-2 % range. We found relatively stable annual rates of EP among AI/AN women receiving care at IHS-affiliated facilities during 2002-2009, but considerable variation by age group and geographic region. Coupling timely diagnosis and management with public health interventions focused on tobacco use and sexually transmitted diseases may provide opportunities for reducing EP and EP-associated complications among AI/AN women.
Keywords:
[+]
Adolescent Age Factors Alaska Ectopic Pregnancy Female Humans Indians, North American North American Indians Pregnancy Pregnancy, Ectopic United States United States Indian Health Service Young Adult
Source:
Matern Child Health J. 19(4):733-738
Pubmed ID:
25023759
Pubmed Central ID:
PMC4303537
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:d627fbb9115280cc08bcfde2bb43021c2561b7138fdbab86868c77bbad126684
Download URL:
https://stacks.cdc.gov/view/cdc/30258/cdc_30258_DS1.pdf
File Type:

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