Maternal Risk Factor Index and Primary Cesarean Delivery among Low-Risk Women in Texas in 2015
ACOG ePoster. Salahuddin M. Apr 27, 2018; 211576; 19E
Meliha Salahuddin
Meliha Salahuddin
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Introduction: Cesarean delivery (CD) accounts for over one-third of all Texas births (~400,000 annually), with primary CD accounting for 20% of the overall CD. We examined associations of maternal risk with primary CD among nulliparous, term, singleton, vertex (NTSV) deliveries in Texas.

Methods: NTSV deliveries to women ages 15-49 years were identified using the 2015 Texas birth file (Center for Health Statistics, Texas Department of State Health Services). A risk factor index was constructed (score range: 0-6), including preexisting diabetes mellitus (DM)/gestational DM (GDM), preexisting hypertension (HTN)/gestational HTN, eclampsia, infertility treatment, smoking during pregnancy, and pre-pregnancy overweight/obesity, and categorized as 0, 1, 2, and 3+ based on the number of risk factors present. Multivariable logistic regression models were conducted to examine the associations between the categorized risk factor index and primary CD, overall and by maternal race/ethnicity.

Results: Among the 116,273 NTSV deliveries, 26.6% had primary CD. The most prevalent risks among those with primary CD were pre-pregnancy overweight/obesity (60.9%), gestational HTN (10.3%), and GDM (5.8%). The adjusted odds for primary CD for 1, 2, and 3+ risk factors were 1.66 (95% CI 1.60-1.71), 2.61 (95% CI 2.48-2.74), and 4.07 (95% CI 3.58-4.62), respectively. This dose-response relationship was observed for all race/ethnic groups.

Conclusion/Implications: Over 50% of NTSV deliveries with primary CD had at least one maternal risk factor. Women with a higher risk index score had elevated odds for primary CD. Understanding patterns of maternal risk associated with primary CD among NTSV deliveries is vital to reducing the overall CD rate in Texas.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings