| Ectopic Pregnancy Rates in the Medicaid Population. | |
| | |
MedLine Citation:
|
PMID: 23313717 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVE: The Centers for Disease Control and Prevention last estimated a national ectopic pregnancy rate in 1992, when it was 1.97 percent of all reported pregnancies. Since then rates have been reported among privately insured women and regional healthcare provider populations, ranging from 1.6 to 2.45 percent. This study assessed the rate of ectopic pregnancy among Medicaid beneficiaries (New York, California, and Illinois, 2000-03), a previously unstudied population. STUDY DESIGN: We identified Medicaid administrative claims records for inpatient and outpatient encounters with a principal ICD9 diagnosis code for ectopic pregnancy. We calculated the ectopic pregnancy rate among female beneficiaries ages 15-44 as the number of ectopic pregnancies divided by the number of total pregnancies, which included spontaneous abortions, induced abortions, ectopic pregnancies, and all births. We used Poisson regression to assess the risk of ectopic pregnancy by age and race. RESULTS: Four-year Medicaid ectopic pregnancy rates were 2.38 percent of pregnancies in New York, 2.07 percent in California, and 2.43 percent in Illinois. Risk was higher among Black women compared to whites in all states (RR= 1.26, 95% CI 1.25 1.28, p< 0.0001), and among older women compared to younger (trend for age, p <0.001). CONCLUSION: Medicaid beneficiaries in these three states experienced higher rates of ectopic pregnancy than reported for privately insured women nationwide in the same years. Relying on private insurance databases may underestimate ectopic pregnancy's burden in the United States population. Furthermore, within this low-income population racial disparities exist. |
| | |
Authors:
|
Debra B Stulberg; Loretta R Cain; Irma Dahlquist; Diane S Lauderdale |
Related Documents
:
|
3585877 - Antenatal detection of hypoplastic right ventricle with fetal m-mode echocardiography. ... 12113877 - Three-dimensional sonography for assessment of morphology and vascularization of the fe... 3554057 - Routine or selective ultrasound examinations in early pregnancy. 16492587 - The effect of anticoagulation on antenatal ultrasound findings in pregnant women with t... 20023297 - Understanding the mechanisms of human tubal ectopic pregnancies: new evidence from knoc... 17631007 - Effects of an anti-tnf-alpha monoclonal antibody, administered throughout pregnancy and... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-1-8 |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: - ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2013-1-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2013 Mosby, Inc. All rights reserved. |
Affiliation:
|
Department of Family Medicine, University of Chicago, Chicago, IL; Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL; MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL. Electronic address: stulberg@uchicago.edu. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lingual thrombosis in a woman with antiphospholipid syndrome.
Next Document: Randomized controlled trial to prevent postpartum depression in adolescent mothers.