Community and Federal Collaboration to Assess Pregnancy Outcomes in Alaska Native Women, 1997-2005.

The objectives are to report the estimated prevalence of pregnancy complications and adverse pregnancy outcomes in a defined population of Alaska Native women and also examine factors contributing to an intensive and successful collaboration between a tribal health center and the Centers for Disease...

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Publicado en:Maternal & Child Health Journal Vol. 18; no. 3; pp. 634 - 640
Autores principales: Kim, Shin, England, Lucinda, Shapiro-Mendoza, Carrie, Wilson, Hoyt, Klejka, Joseph, Tucker, Myra, Lewis, Claire, Kendrick, Juliette
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Community and Federal Collaboration to Assess Pregnancy Outcomes in Alaska Native Women, 1997-2005.
      aug:
        au:
          Kim, Shin
          England, Lucinda
          Shapiro-Mendoza, Carrie
          Wilson, Hoyt
          Klejka, Joseph
          Tucker, Myra
          Lewis, Claire
          Kendrick, Juliette
        affil: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS K-23 Atlanta 30341 USA
      sug:
        subj:
          Pregnancy Outcomes
          Pregnancy Complications Epidemiology
          Human
          Pregnancy
          Female
          Alaska
          Descriptive Statistics
          Pregnancy-Induced Hypertension
          Prevalence
          Collaboration
          Random Sample
          Case Control Studies
          Data Analysis Software
          Confidence Intervals
          Adult
          Adult: 19-44 years
          Female
      ab: The objectives are to report the estimated prevalence of pregnancy complications and adverse pregnancy outcomes in a defined population of Alaska Native women and also examine factors contributing to an intensive and successful collaboration between a tribal health center and the Centers for Disease Control and Prevention. Investigators abstracted medical record data from a random sample of singleton deliveries to residents of the study region occurring between 1997 and 2005. We used descriptive statistics to estimate the prevalence and 95 % confidence intervals of selected pregnancy complications and adverse pregnancy outcomes. Records were examined for 505 pregnancies ending in a singleton delivery to 469 women. Pregnancy complication rates were 5.9 % (95 % CI 4.0, 8.4) for gestational diabetes mellitus, 6.1 % (95 % CI 4.2, 8.6 %) for maternal chronic hypertension and 11.5 % (95 % CI 8.8, 14.6) for pregnancy associated hypertension, and 22.9 % (95 % CI 19.2-26.5 %) for anemia. The cesarean section rate was 5.5 % (95 % CI 3.5, 7.5) and 3.8 % (95 % CI 2.3, 5.8) of newborns weighed >4,500 g. Few previous studies reported pregnancy outcomes among Alaska Native women in a specific geographic region of Alaska and regarding the health needs in this population. We highlight components of our collaboration that contributed to the success of the study. Studies focusing on special populations such as Alaska Native women are feasible and can provide important information on health indicators at the local level.
      pubtype: Academic Journal
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    language: English
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