The 130th Annual Meeting of APHA

4099.1: Tuesday, November 12, 2002 - 12:30 PM

Abstract #40988

: " Prevalence and predictors of cesarean section in a Native American population"

Sheila F. Mahoney, RN, BSN, MS and Lorraine Halinka Malcoe, PhD, MPH. Master's in Public Health, University of New Mexico Health Sciences Center, 2400 Tucker NE, FPC 149, Albuquerque, NM 87131-5267, 505-344-3976,

Objectives: Cesarean section rates among Native American populations tend to be lower than the general population. This study proposes to examine the prevalence of risk and protective factors for cesarean section among Native American women delivering at the Santa Fe Indian Hospital and to compare the prevalence of these factors with estimates published in the literature among non-Native populations. Methods: This retrospective, records-based study utilizes data from the obstetrical logbook at the Santa Fe Indian Hospital for the years 1996 through 1999. Information from the logbook includes demographic variables, prenatal course, intrapartum course and type of delivery. Demographic data includes age, parity, tribe, level of education and marital status. Prenatal factors include adequacy of prenatal care attendance. Obstetrical risk factors include diabetes, chronic hypertension, pregnancy induced hypertension and anemia. Intrapartum factors include birth weight, induction of labor, augmentation of labor, length of labor and type of attendant at delivery. Labor and delivery complications to be addressed include fetal distress, presence of meconium and arrested progress. Results: Preliminary results show that cesarean sections in this population, as expected, are low. There are no differences between demographic characteristics and type of delivery. Statistical differences appear to be related to medical factors such as arrested labor, presence of a medical diagnosis in pregnancy, induction of labor and being categorized as high risk.

Learning Objectives:

  • Learning Objectives
  • At the conclusion of the session, the learner will be able to

    Keywords: MCH Epidemiology, Maternal Care

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Maternal and Child Health Issues

    The 130th Annual Meeting of APHA