23: Regional differences in obstetric outcomes among HIV-infected women in a rural state




Objectives


The majority of counties in South Carolina (SC) are rural (a total population of less than 50,000). Our objective was to identify regional differences and the potential impact of a rural location on pregnancy outcomes for HIV-infected women.




Methods


Maternal and neonatal de-identified data was obtained from the SC Department of Health and Environmental Control (DHEC) for all known HIV-infected women delivering in SC from 2004-2014. These data included maternal county of residence, delivery, and county of HIV diagnosis. Counties were defined as rural if their total population was < 50,000 according to the 2010 US census. The 46 counties of SC were divided into four perinatal regions designated by proximity to one of four level 3 NICUs. These regions are referred to as the Lowcountry (8 counties), Peedee (8), Midlands (16), and Peidmont (14). Statistical analysis was performed using SAS 9.4 (Cary, NC). Continuous variables were compared with Student’s t-test and Wilcoxon Rank Sum Tests. Categorical variables were compared using χ2 test and Fisher’s exact test.




Methods


Maternal and neonatal de-identified data was obtained from the SC Department of Health and Environmental Control (DHEC) for all known HIV-infected women delivering in SC from 2004-2014. These data included maternal county of residence, delivery, and county of HIV diagnosis. Counties were defined as rural if their total population was < 50,000 according to the 2010 US census. The 46 counties of SC were divided into four perinatal regions designated by proximity to one of four level 3 NICUs. These regions are referred to as the Lowcountry (8 counties), Peedee (8), Midlands (16), and Peidmont (14). Statistical analysis was performed using SAS 9.4 (Cary, NC). Continuous variables were compared with Student’s t-test and Wilcoxon Rank Sum Tests. Categorical variables were compared using χ2 test and Fisher’s exact test.

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May 2, 2017 | Posted by in GYNECOLOGY | Comments Off on 23: Regional differences in obstetric outcomes among HIV-infected women in a rural state

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