Obstetrics in the Finger Lakes Region: 2002 - PowerPoint PPT Presentation

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Obstetrics in the Finger Lakes Region: 2002

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Obstetrics in the Finger Lakes Region: 2002 – PowerPoint PPT presentation

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Title: Obstetrics in the Finger Lakes Region: 2002


1
Obstetrics in theFinger Lakes Region2002
  • Finger Lakes Perinatal Data System

2
The Finger Lakes Region
  • Nine Counties
  • Monroe 58
  • Others 1 to 7
  • 14 OB Hospitals
  • SMH, HH, RGH 61
  • AO 9, Park Ridge 7
  • Others
  • 15,000 Del/Yr

3
Deliveries Mothers
USA 4.1 million NYS 258,000
4
Ms. F. L. Gravida 2002
  • 28 y.o. G2P1 Caucasian
  • 6 18 y.o. (Youngest 13)
  • USA 7
  • 15 35 y.o. (Oldest 48)
  • USA 14
  • Gravidity 1 - 18
  • Parity 0 - 15 (38 P0)

5
Socio-Economic
  • High School Graduate 83
  • USA 78
  • Median 1 year of college
  • 31 college grads
  • Employed 65
  • Medicaid/Uninsured 34
  • NYS 40

6
Genetic Testing
AFP Offered
AFP Done
Genetic Amnio
7
Antepartum Testing
  • Ultrasound 97
  • By Hospital 84 to 99
  • USA 67
  • Nonstress Testing 25
  • By Hospital 10 to 68
  • Biophysical Profile 4

8
Induction of Labor Rates
9
Induction Rate by Hospital
10
Intrapartum Fetal Monitoring
External
Internal
11
Anesthesia and Operative Vaginal Delivery
Epidural
(5 to 58)
Forceps or Vacuum
(1 to 9)
12
Cesarean Delivery
Total
(17 to 36)
Primary
(9 to 19)
Repeat
(7 to 17)
13
Cesarean Indications
14
Cesarean Comparisons
15
Cesarean Delivery by Hospital
16
CS Parity and Labor
  • If a woman presents in labor
  • 16.4 chance of cesarean
  • Hospital range 11 to 35
  • In labor, by parity
  • P0 22 chance of CS
  • P0 6 if no previous CS
  • 53 if previous CS

17
Perineal Trauma
Lacerations
Episiotomy
(8 to 37)
18
Neonatal Outcomes 2002
  • Preterm Delivery 9.4
  • USA 11.6
  • Low Birth Weight 7.6
  • USA 7.6 NYS 7.8
  • Low 5-minute Apgar 0.7
  • Congenital Anomaly 2.7
  • Multiple Gestation 1.9

19
Maternal 2002
  • Breastfeeding Intent 69
  • Up from 66 in 1998
  • 59 to 65 Upstate NY
  • Mean Length of Stay 2.6 days
  • Vaginal Delivery 2.2 days (1.9 days pp)
  • Cesarean Delivery 3.8 days (3.3 days pp)
  • Down from 4.1 in 2001

20
Healthy People 2000
2001
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