Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009

Lori de Ravello, Arianne Folkema, Scott Tulloch, Melanie Taylor, Brigg Reilley, Karen Hoover, Robert Holman, Andreea Creanga

Research output: Contribution to journalArticle

Abstract

To examine rates of ectopic pregnancy (EP) among American Indian and Alaska Native (AI/AN) women aged 15–44 years seeking care at Indian Health Service (IHS), Tribal, and urban Indian health facilities during 2002–2009. We used 2002–2009 inpatient and outpatient data from the IHS National Patient Information Reporting System to identify EP-associated visits and obtain the number of pregnancies among AI/AN women. Repeat visits for the same EP were determined by calculating the interval between visits; if more than 90 days between visits, the visit was considered related to a new EP. We identified 229,986 pregnancies among AI/AN women 15–44 years receiving care at IHS-affiliated facilities during 2002–2009. Of these, 2,406 (1.05 %) were coded as EPs, corresponding to an average annual rate of 10.5 per 1,000 pregnancies. The EP rate among AI/AN women was lowest in the 15–19 years age group (5.5 EPs per 1,000 pregnancies) and highest among 35–39 year olds (18.7 EPs per 1,000 pregnancies). EP rates varied by geographic region, ranging between 6.9 and 24.4 per 1,000 pregnancies in the Northern Plains East and the East region, respectively. The percentage of ectopic pregnancies found among AI/AN women is within the national 1–2 % range. We found relatively stable annual rates of EP among AI/AN women receiving care at IHS-affiliated facilities during 2002–2009, but considerable variation by age group and geographic region. Coupling timely diagnosis and management with public health interventions focused on tobacco use and sexually transmitted diseases may provide opportunities for reducing EP and EP-associated complications among AI/AN women.

Original languageEnglish (US)
Pages (from-to)733-738
Number of pages6
JournalMaternal and Child Health Journal
Volume19
Issue number4
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

North American Indians
Ectopic Pregnancy
United States Indian Health Service
Pregnancy
Pregnancy Rate
Age Groups
Alaska Natives
Urban Health
Pregnancy Complications
Health Facilities
Tobacco Use
Sexually Transmitted Diseases
Information Systems
Inpatients
Outpatients
Public Health

Keywords

  • Ectopic pregnancy
  • North American Indians

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009. / de Ravello, Lori; Folkema, Arianne; Tulloch, Scott; Taylor, Melanie; Reilley, Brigg; Hoover, Karen; Holman, Robert; Creanga, Andreea.

In: Maternal and Child Health Journal, Vol. 19, No. 4, 2015, p. 733-738.

Research output: Contribution to journalArticle

de Ravello, L, Folkema, A, Tulloch, S, Taylor, M, Reilley, B, Hoover, K, Holman, R & Creanga, A 2015, 'Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009', Maternal and Child Health Journal, vol. 19, no. 4, pp. 733-738. https://doi.org/10.1007/s10995-014-1558-0
de Ravello, Lori ; Folkema, Arianne ; Tulloch, Scott ; Taylor, Melanie ; Reilley, Brigg ; Hoover, Karen ; Holman, Robert ; Creanga, Andreea. / Ectopic Pregnancy Among American Indian and Alaska Native Women, 2002–2009. In: Maternal and Child Health Journal. 2015 ; Vol. 19, No. 4. pp. 733-738.
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