TY - JOUR
T1 - Factors associated with high-risk rural women giving birth in non-NICU hospital settings
AU - Kozhimannil, K. B.
AU - Hung, P.
AU - Casey, M. M.
AU - Lorch, S. A.
N1 - Publisher Copyright:
© 2016 Nature America, Inc.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Objective: To identify risk factors for childbirth in a facility without neonatal intensive care unit (NICU) capacity among high-risk rural women. Study Design: Using data on all maternal hospitalizations for rural residents in nine states (2010, 2012), we performed logit regression, focusing on women with multiple gestation and preterm birth. We defined a 'local' hospital as any maternity hospital within 30 miles (or the nearest hospital). Results: Rural women with preterm births and multiple gestation pregnancies were less likely to give birth in a hospital with NICU capacity if no local hospital had this capacity. Adjusted odds of giving birth in a NICU hospital were lower among women ≤age 20 (AOR 0.87 (95% CI 0.77, 0.98)), Medicaid beneficiaries (0.81 (0.75, 0.89)), uninsured women (0.44 (0.32, 0.61)) and black women (0.60 (0.50, 0.71)). Conclusions: Among high-risk rural pregnant women without local NICU access, younger, low-income, and black women had lower odds of using NICU hospitals.
AB - Objective: To identify risk factors for childbirth in a facility without neonatal intensive care unit (NICU) capacity among high-risk rural women. Study Design: Using data on all maternal hospitalizations for rural residents in nine states (2010, 2012), we performed logit regression, focusing on women with multiple gestation and preterm birth. We defined a 'local' hospital as any maternity hospital within 30 miles (or the nearest hospital). Results: Rural women with preterm births and multiple gestation pregnancies were less likely to give birth in a hospital with NICU capacity if no local hospital had this capacity. Adjusted odds of giving birth in a NICU hospital were lower among women ≤age 20 (AOR 0.87 (95% CI 0.77, 0.98)), Medicaid beneficiaries (0.81 (0.75, 0.89)), uninsured women (0.44 (0.32, 0.61)) and black women (0.60 (0.50, 0.71)). Conclusions: Among high-risk rural pregnant women without local NICU access, younger, low-income, and black women had lower odds of using NICU hospitals.
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U2 - 10.1038/jp.2016.8
DO - 10.1038/jp.2016.8
M3 - Article
C2 - 26890556
AN - SCOPUS:84958824795
SN - 0743-8346
VL - 36
SP - 510
EP - 515
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 7
ER -