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ISSN: 2376-127X

Journal of Pregnancy and Child Health
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Research Article

Health Assessment of a Rural Obstetrical Population in a Midwestern State

Lisette T Jacobson*, Jennifer Duong, David Grainger, Tracie Collins, Darren Farley, Michael Wolfe, Frank Dong and Benjamin Anderson

University of Kansas School of Medicine Wichita, Wichita, Kansas, United states

Corresponding Author:

Lisette T Jacobson
University of Kansas School of Medicine Wichita
Wichita, Kansas, United States
Tel: (316)293-3484
E-mail: [email protected]

Received April 26, 2016; Accepted April 28, 2016; Published April 30, 2016

Citation: Jacobson LT, Duong J, Grainger D, Collins T, Farley D, et al. (2016) Health Assessment of a Rural Obstetrical Population in a Midwestern State. J Preg Child Health 3:252. doi:10.4172/2376-127X.1000252

Copyright: © 2016 Jacobson LT, et al., This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A critical access hospital in a Midwestern state experiences an alarming number of high-risk pregnancies including pregnancies complicated by gestational diabetes mellitus. A health collaborative among local healthcare providers, a regional health system, a medical school, and the state health department was established to improve pregnancy and birth outcomes. The purpose of this study was to learn about the characteristics and health behaviours of rural pregnant women. A survey was administered to women who received care at two critical access hospitals and one federally qualified health centre between January and March 2015. Survey questions focused on pregnancy risk factors and ascertained health status, anthropometrics, prenatal education, dietary habits, physical activity, health behaviours, family medical history, and demographic characteristics. Descriptive analyses were conducted. Sample size included 177 rural women. Most respondents were Hispanic (50.3%), 18-25 years old (48.6%), completed some high school (20.5%) or high school graduate (30.7%), WIC enrolled (51.7%), and an income of < $25,000/year (54.2%). The majority were overweight (34.4%) or obese (41.6%) during pregnancy and 54% engaged in 30 minutes of moderate physical activity per day for ≤ 2 days per week. Education regarding fetal movement counts was minimal. Nearly one-third (30.5%) had an immediate family member with diabetes and 24.3% had an immediate family member with heart or circulation problems. Findings indicate that this rural population is at risk for pregnancy complications including gestational diabetes leading to an increased risk for developing type 2 diabetes and cardiovascular disease later in life. This study is an initial step toward understanding rural pregnant women in the catchment area. Follow-up studies that could further guide the design for intervention programming that aims to reduce the risk for cardiovascular disease are needed. Additional studies into annual screening for pregestational diabetes and early serial screening for gestational diabetes are also warranted.

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