Medicaid pregnancy termination funding and racial disparities in congenital anomaly-related infant deaths.

Abstract:

OBJECTIVE:To explore whether state restrictions on Medicaid funding for pregnancy termination of anomalous fetuses could be contributing to the black-white disparity in infant death resulting from congenital anomalies. METHODS:Data on deaths resulting from anomalies were obtained from U.S. vital statistics records (1983-2004) and the Nationwide Inpatient Sample (2003-2007). We conducted an ecological study using Poisson and logistic regression to explore the association between state Medicaid funding for pregnancy terminations of anomalous fetuses and infant death resulting from anomalies by calendar time, race, and individual Medicaid status. RESULTS:Since 1983, a gap in anomaly-related infant death has developed between states without compared with those with Medicaid funding for pregnancy termination (rate ratio in 2004 1.21, 95% confidence interval [CI] 1.18-1.24; crude risks: 146.8 compared with 121.7/100,000). Blacks were significantly more likely than whites to be on Medicaid (60.2% compared with 29.2%) and to live in a state without Medicaid funding for pregnancy termination (65.8% compared with 59.6%). The increased risk of anomaly-related death associated with lack of state Medicaid funding for pregnancy termination was most pronounced among black women on Medicaid (relative risk 1.94, 95% CI 1.52-2.36; crude risks: 245.5 compared with 129.3/100,000). CONCLUSION:States without Medicaid funding for pregnancy termination of anomalous fetuses have higher rates of infant death resulting from anomalies than those with funding, and this difference is most pronounced among black women on Medicaid. Restrictions on Medicaid funding for termination of anomalous fetuses potentially could be contributing to the black-white disparity in anomaly-related infant death. LEVEL OF EVIDENCE:II.

journal_name

Obstet Gynecol

authors

Hutcheon JA,Bodnar LM,Simhan HN

doi

10.1097/AOG.0000000000000583

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

163-169

issue

1

eissn

0029-7844

issn

1873-233X

pii

00006250-201501000-00027

journal_volume

125

pub_type

杂志文章
  • Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery.

    abstract:OBJECTIVE:To determine whether the risk for uterine rupture is increased in women attempting vaginal birth after multiple cesarean deliveries. METHODS:We conducted a prospective multicenter observational study of women with prior cesarean delivery undergoing trial of labor and elective repeat operation. Maternal and p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.AOG.0000224694.32531.f3

    authors: Landon MB,Spong CY,Thom E,Hauth JC,Bloom SL,Varner MW,Moawad AH,Caritis SN,Harper M,Wapner RJ,Sorokin Y,Miodovnik M,Carpenter M,Peaceman AM,O'sullivan MJ,Sibai BM,Langer O,Thorp JM,Ramin SM,Mercer BM,Gabbe SG,Na

    更新日期:2006-07-01 00:00:00

  • Immunologic thrombocytopenic purpura and pregnancy: six new cases.

    abstract::Six new cases of idiopathic thrombocytopenic purpura (ITP) associated with pregnancy are reported; one of these patients delivered triplets. In addition, 78 patients with 122 pregnancies and 124 fetuses have been reported previously. The maternal mortality rate was 4% and the fetal mortality rate was 18%. Prior recomm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197805000-00018

    authors: O'Reilly RA,Taber BZ

    更新日期:1978-05-01 00:00:00

  • Predicting painful or difficult intrauterine device insertion in nulligravid women.

    abstract:OBJECTIVE:To assess the relationship of preinsertion vaginal ultrasound assessment and menstrual and gynecologic history as predictors of difficult or painful intrauterine device insertion in nulligravid women. METHODS:Nulligravid women seeking contraception were invited to participate in this nonrandomized study and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000362

    authors: Kaislasuo J,Heikinheimo O,Lähteenmäki P,Suhonen S

    更新日期:2014-08-01 00:00:00

  • Detection of benign endometrial masses by endometrial stripe measurement in premenopausal women.

    abstract:OBJECTIVE:Our objective was to estimate whether a transvaginal endometrial stripe of less than 5 mm in premenopausal women would exclude endometrial polyps and intracavitary leiomyomata, thereby eliminating the need for sonohysterography. METHODS:Data from 206 consecutive sonohysterograms performed in premenopausal wo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000130065.49187.c8

    authors: Breitkopf DM,Frederickson RA,Snyder RR

    更新日期:2004-07-01 00:00:00

  • Clinical evaluation of a new herpes simplex virus ELISA: a rapid diagnostic test for herpes simplex virus.

    abstract::A new sensitive and rapid enzyme-linked immunosorbent assay (ELISA) test (Du Pont HERPCHEK) for the detection of herpes simplex virus (HSV) antigen was evaluated. A total of 563 clinical samples collected from patients attending obstetrics and gynecology and sexually transmitted disease clinics in two geographic locat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baker DA,Gonik B,Milch PO,Berkowitz A,Lipson S,Verma U

    更新日期:1989-03-01 00:00:00

  • Pregnancy complicated by cyclic vomiting syndrome.

    abstract:BACKGROUND:Cyclic vomiting syndrome is a condition that consists of recurrent episodes of vomiting occurring between periods of normal health, with no apparent organic cause of vomiting. We report the sentinel case of pregnancy complicated by preexisting cyclic vomiting syndrome. CASE:A primigravida presented at 8 wee...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181a458e0

    authors: Byers BD,Snyder CH,Saade GR

    更新日期:2009-08-01 00:00:00

  • Doppler fetal echocardiography in endocardial fibroelastosis.

    abstract:BACKGROUND:Endocardial fibroelastosis is a congenital heart disease known to cause congestive heart failure in early infancy. We report a case using new modalities for early prenatal diagnosis of endocardial fibroelastosis causing fetal heart failure. CASE:A multipara with two children, who died of endocardial fibroel...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01505-8

    authors: Weiner Z,Shalev E

    更新日期:2001-11-01 00:00:00

  • Thrombocytopenia in two patients treated with low-dose heparin.

    abstract::Two cases of thrombocytopenia, one resulting in bleeding, are reported in patients treated with prophylactic low-dose heparin. The evidence indicates that low-dose heparin was responsible. A review of the literature indicates that heparin-induced thrombocytopenia may be a common event. Since low-dose heparin has been ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Galle PC,Muss HB,McGrath KM,Stuart JJ,Homesley HD

    更新日期:1978-07-01 00:00:00

  • The effects of mefenamic acid and norethisterone on measured menstrual blood loss.

    abstract::Although there are numerous medical treatments for menorrhagia, in many instances neither the precise diagnosis nor the response to therapy have been assessed objectively. Menorrhagia (menstrual blood loss more than 80 mL per cycle) was diagnosed objectively in 32 (44%) of 72 women with a subjective complaint of heavy...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Cameron IT,Haining R,Lumsden MA,Thomas VR,Smith SK

    更新日期:1990-07-01 00:00:00

  • Presenting symptoms of women with depression in an obstetrics and gynecology setting.

    abstract:OBJECTIVE:To describe the presenting symptoms of women with depression in two obstetrics and gynecology clinics, determine depression diagnosis frequency, and examine factors associated with depression diagnosis. METHODS:Data were extracted from charts of women screening positive for depression in a clinical trial tes...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31829999ee

    authors: Cerimele JM,Vanderlip ER,Croicu CA,Melville JL,Russo J,Reed SD,Katon W

    更新日期:2013-08-01 00:00:00

  • Persistent tubal pregnancy.

    abstract::Persistent tubal pregnancy may be manifest by either acute symptoms or a persistent or rising beta-hCG titer following conservative surgery. This condition is a relatively new complication, related to the recent practice of conservative surgical management of tubal pregnancy. Much has been written on the identificatio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-199102000-00021

    authors: Stock RJ

    更新日期:1991-02-01 00:00:00

  • Placental changes in gestational diabetes. An ultrastructural study.

    abstract::A light microscopic, an electron microscopic, and a ultrahistochemical study have been made of seven placentas from women with mild and excellently controlled chemical gestational diabetes. Only one placenta showed no significant abnormality; the remainder showed, to a varying degree, changes in the syncytiotrophoblas...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jones CJ,Fox H

    更新日期:1976-09-01 00:00:00

  • Prospective evaluation of 618 pregnant women exposed to parvovirus B19: risks and symptoms.

    abstract:OBJECTIVE:To assess the risk of maternal parvovirus B19 infection from exposure to various sources and the fetal morbidity of those infections. METHODS:We obtained demographic and occupational information about pregnant women exposed to sources of B19 and about the nature and duration of the exposures. We performed se...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00701-1

    authors: Harger JH,Adler SP,Koch WC,Harger GF

    更新日期:1998-03-01 00:00:00

  • Cecal volvulus in pregnancy.

    abstract::Cecal volvulus in pregnancy is an uncommon complication. A case is reported of a 28-year-old white female, gravida 2, para 1, who presented at 36 weeks' gestation with flu-like symptoms accompanied by regular uterine contractions every 3 minutes; she underwent repeat cesarean section without incident. The patient did ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pratt AT,Donaldson RC,Evertson LR,Yon JL Jr

    更新日期:1981-06-01 00:00:00

  • Long-term follow-up and complications of infants with vulvovaginal embryonal rhabdomyosarcoma treated with surgery, radiation therapy, and chemotherapy.

    abstract::The long-term follow-up is presented of three infants with vulvovaginal rhabdomyosarcoma treated at 10, 11, and 15 months of age by radical surgery, pelvic radiation therapy, and chemotherapy. Two patients developed colonic stricture requiring operative repair. One of these two patients also has urinary incontinence s...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Piver MS,Rose PG

    更新日期:1988-03-01 00:00:00

  • Combination Antiretroviral Therapy and Hypertensive Disorders of Pregnancy.

    abstract:OBJECTIVE:To compare the incidence of hypertensive disorders of pregnancy among women living with human immunodeficiency virus (HIV) on combination antiretroviral therapy (ART) to women without HIV, and to evaluate the association of hypertensive disorders of pregnancy with ART regimens or timing of ART initiation. ME...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003584

    authors: Saums MK,King CC,Adams JC,Sheth AN,Badell ML,Young M,Yee LM,Chadwick EG,Jamieson DJ,Haddad LB

    更新日期:2019-12-01 00:00:00

  • Intestinal invasion by a dysgerminoma in a patient with Swyer syndrome.

    abstract::An unusual case is presented of advanced dysgerminoma in a patient with Swyer syndrome, 46,XY pure gonadal dysgenesis. Unexpected regional invasion necessitated bowel resection, total abdominal hysterectomy, and bilateral salpingogonadectomy for a complete en bloc excision of the primary tumor mass and the dysgenetic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Parker M,Barnhill D,Teneriello M,O'Connor D,Park R

    更新日期:1992-09-01 00:00:00

  • Health care provider attitudes and practices related to intrauterine devices for nulliparous women.

    abstract:OBJECTIVE:To examine predictors of health care providers perceiving intrauterine devices (IUDs) as unsafe for nulliparous women and of infrequent provision of IUDs to nulliparous women. METHODS:We analyzed questionnaire data obtained during December 2009 to March 2010 from 635 office-based providers (physicians) and 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31824aca39

    authors: Tyler CP,Whiteman MK,Zapata LB,Curtis KM,Hillis SD,Marchbanks PA

    更新日期:2012-04-01 00:00:00

  • Cerebral metastases of a choriocarcinoma during pregnancy.

    abstract:BACKGROUND:Cerebral metastasis of choriocarcinoma during pregnancy is rare. Described is the fourth case in the literature. CASE:A pregnant women at 28 weeks' gestation sought care for headaches followed by loss of consciousness. The diagnosis of choriocarcinoma metastases was made on the basis of the combination of c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0029-7844(03)00865-2

    authors: Picone O,Castaigne V,Ede C,Fernandez H

    更新日期:2003-12-01 00:00:00

  • Maternal morbidity and risk of death at delivery hospitalization.

    abstract:OBJECTIVE:To examine the effect of underlying maternal morbidities on the odds of maternal death during delivery hospitalization. METHODS:We used data that linked birth certificates to hospital discharge diagnoses from singleton live births at 22 weeks of gestation or later during 1995-2003 in New York City. Maternal ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182a06f4e

    authors: Campbell KH,Savitz D,Werner EF,Pettker CM,Goffman D,Chazotte C,Lipkind HS

    更新日期:2013-09-01 00:00:00

  • Determinants of survival of surgically staged patients with endometrial carcinoma histologically confined to the uterus: implications for therapy.

    abstract:OBJECTIVE:To determine the factors that influence the survival of patients with endometrial carcinoma histologically confined to the uterus. METHODS:Retrospective analysis was conducted of 262 surgically staged cases using multiple regression (Cox proportional hazards model). RESULTS:After excluding patients with cle...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kadar N,Malfetano JH,Homesley HD

    更新日期:1992-10-01 00:00:00

  • Obstetric and Neonatal Risks Among Obese Women Without Chronic Disease.

    abstract:OBJECTIVE:To investigate whether prepregnancy obesity is associated with adverse pregnancy outcomes among women without chronic disease. METHODS:Singleton deliveries (N=112,309) among mothers without chronic diseases in the Consortium on Safe Labor, a retrospective U.S. cohort, were analyzed using Poisson regression w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001465

    authors: Kim SS,Zhu Y,Grantz KL,Hinkle SN,Chen Z,Wallace ME,Smarr MM,Epps NM,Mendola P

    更新日期:2016-07-01 00:00:00

  • Group A streptococcal puerperal sepsis preceded by positive surveillance cultures.

    abstract:BACKGROUND:Screening of pregnant women for vaginal and rectal carriage of group B streptococci may also identify group A streptococcal carriers. The clinical significance of prenatal group A streptococcal carriage is unknown. CASES:Two women developed group A streptococcal puerperal sepsis after delivery at one hospit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01611-8

    authors: Stefonek KR,Maerz LL,Nielsen MP,Besser RE,Cieslak PR

    更新日期:2001-11-01 00:00:00

  • Labor induction with the prostaglandin E1 methyl analogue misoprostol versus oxytocin: a randomized trial.

    abstract:OBJECTIVE:To compare the safety and efficacy of intravaginal misoprostol versus intravenous (IV) oxytocin infusion for labor induction. METHODS:One hundred thirty patients were randomly assigned to one of two induction groups: 1) intravaginal misoprostol or 2) IV oxytocin by continuous infusion, with prior cervical ri...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Sanchez-Ramos L,Kaunitz AM,Del Valle GO,Delke I,Schroeder PA,Briones DK

    更新日期:1993-03-01 00:00:00

  • Maternal death in a patient with Eisenmenger's syndrome.

    abstract::A pregnant patient with Eisenmenger's syndrome is reported. The hemodynamic data gathered during this pregnancy suggest that decreased peripheral vascular resistance and reflex bradycardia secondary to postural changes could be of extreme importance in contributing to the extremely high maternal mortality. Suggestions...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Arias F

    更新日期:1977-07-01 00:00:00

  • Prenatal prediction of lethal pulmonary hypoplasia using ultrasonic fetal chest circumference.

    abstract::Ultrasonic measurement of fetal chest circumference was tested as a predictor of pulmonary hypoplasia in a group of 26 fetuses at known risk. A 42% prevalence of autopsy-proved pulmonary hypoplasia was found in this population. Chest circumference measurements were plotted on published nomograms based upon head circum...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Songster GS,Gray DL,Crane JP

    更新日期:1989-02-01 00:00:00

  • Disparities in Surgical Care Among Women With Endometrial Cancer.

    abstract:OBJECTIVE:To analyze contemporary U.S. use of minimally invasive surgery for the treatment of endometrial cancer and associated inpatient complications and costs. METHODS:In this retrospective cohort study, the National Inpatient Sample database was analyzed in patients with nonmetastatic endometrial cancer who underw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001567

    authors: Mannschreck D,Matsuno RK,Moriarty JP,Borah BJ,Dowdy SC,Tanner EJ 3rd,Makary MA,Stone RL,Levinson KL,Temkin SM,Fader AN

    更新日期:2016-09-01 00:00:00

  • The limited usefulness of urine and blood cultures in treating pyelonephritis in pregnancy.

    abstract::Although urine cultures are performed routinely in managing acute pyelonephritis in pregnancy, little is known about the clinical usefulness of these cultures. The same is true for blood cultures. To evaluate their role in managing patients, we reviewed the records of 156 cases to determine to what extent such culture...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: MacMillan MC,Grimes DA

    更新日期:1991-11-01 00:00:00

  • Rapid fetal lung maturity testing: commercial versus NBD-phosphatidylcholine assay.

    abstract::We compared the TDx Fetal Lung Maturity test and the fluorescence polarization method using 1-palmitoyl-2(6-[(7-nitro-2,1,3-benzoxadiazol-4- yl)amino]caproyl)phosphatidylcholine (NBD-phosphatidylcholine). Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two methods were found t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ashwood ER,Palmer SE,Lenke RR

    更新日期:1992-12-01 00:00:00

  • A prospective comparison of hourly and quarter-hourly oxytocin dose increase intervals for the induction of labor at term.

    abstract::Fifty-two women undergoing labor induction and vaginal delivery at term were randomized between two oxytocin infusion protocols, involving hourly versus quarter-hourly increases in dose. Potential differences were sought of duration of labor, amount of uterine activity generated, and amount of oxytocin required. Start...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Blakemore KJ,Qin NG,Petrie RH,Paine LL

    更新日期:1990-05-01 00:00:00