Obstetrics in the Finger Lakes Region: 2002

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Obstetrics in theFinger Lakes Region2002

• Finger Lakes Perinatal Data System

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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

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Deliveries Mothers
USA 4.1 million NYS 258,000
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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)

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Socio-Economic

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

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Genetic Testing
AFP Offered
AFP Done
Genetic Amnio
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Antepartum Testing

• Ultrasound 97
• By Hospital 84 to 99
• USA 67
• Nonstress Testing 25
• By Hospital 10 to 68
• Biophysical Profile 4

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Induction of Labor Rates
9
Induction Rate by Hospital
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Intrapartum Fetal Monitoring
External
Internal
11
Anesthesia and Operative Vaginal Delivery
Epidural
(5 to 58)
Forceps or Vacuum
(1 to 9)
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Cesarean Delivery
Total
(17 to 36)
Primary
(9 to 19)
Repeat
(7 to 17)
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Cesarean Indications
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Cesarean Comparisons
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Cesarean Delivery by Hospital
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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

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Perineal Trauma
Lacerations
Episiotomy
(8 to 37)
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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

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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

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Healthy People 2000
2001