Contemporary Issues E1 Flashcards
What percentage of pregnancies’ are unplanned?
50%
Barriers to prenatal care + % delivery medicaid covers
Cost (no insurance) Transportation, Child care, Insurance not accepted
43% of delivery paid by medicaid
What percentage of the population uses alternative health care (what is that)
40%
Alternative - chiropractor, massage, herbs, oils
Cesarean Statistics (Overall, First time Goal, Repeat Goal)
Overall - 32.8%
First time - 23.9%
Repeat - 81.7%
Family Medical Leave Act
Passed in 1993 insures 12 weeks of unpaid leave
Infant mortality rate (1950, 1990, Now)
1950 - 29.2%
1990 - 9.2 %
2024 - 5.4%
Change in mortality rates for people with/without prenatal care
34.8% without
6.2% with
Babies with LBW have a 25% more chance of death
Where is US mortality rates globally
US ranks 31st
- Higher rate in male
Leading causes of infant mortality
Congenital abnormalities, preterm/low birth weight, SIDS, Pregnancy’s complications, respiratory distress syndrome, injuries (suffocation)
Maternal Mortality Trends
World: 1600 women die each day
US: 50,000 severely injured annually
700 die annually
African American 4x
Hispanic 1.3x
- 3-4x more likely if they received no prenatal care
Define Maternal Mortality
Number of deaths per 100,000 live births with to 42 days postpartum
Major causes of maternal mortality
Infection, Hypertension, Hemorrhage, Sepsis, Amniotic Fluid Embolism
Indirect; Malaria, Anemia, HIV/AIDS, Cardiovascular
Afghanistan and Africa maternal mortality rates
Afghanistan 1400 per 100,000
Africa 870 per 100,000 (40% of total deaths)
WHO goal for maternal mortality and US current
Goal: 3.3
Currently 7-8 no change since 1996
2004, 2012, 2021 Maternal Mortality Rates and common complications
2004: 13
2012: 12.7
2021: 32.9
Complications: Obesity, advanced maternal age, number of cesareans
