Table 1. Socio-demographic characteristics of mothers with combined preeclampsia or eclampsia in San Bernardino County in 2007 and 2008. |
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|
2007 |
2008 |
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|
Total |
No Preeclampsia or Eclampsia |
Combined Preeclampsia or Eclampsia |
Total |
No Preeclampsia or Eclampsia |
Combined Preeclampsia or Eclampsia |
n (%) |
N = 33 193 |
n = 32 466 |
n = 727 |
N = 32 035 |
n = 31 363 |
n = 672 |
Mother's Pre-pregnancy BMI |
|
|
|
|
|
|
Underweight (<18.50) |
1 789 |
1 773 (6.33) |
16 (2.47) |
1 781 |
1 759 (6.35) |
22 (3.70) |
Normal (18.50-24.99) |
14 966 |
14 708 (52.52) |
258 (39.75) |
14 496 |
14 294 (51.62) |
202 (33.95) |
Overweight (25.00-29.99) |
6 381 |
6 226 (22.23) |
155 (23.88) |
6 360 |
6 198 (22.38) |
162 (27.23) |
Obese (=30.00) |
5 516 |
5 296 (18.91) |
220 (33.90) |
5 649 |
5 440 (19.65) |
209 (35.13) |
IOM Qualitative Weight Gain |
|
|
|
|
|
|
Too Little |
14 863 |
14 611 (45.00) |
252 (34.66) |
14 202 |
13 940 (44.45) |
262 (38.99) |
Just Right |
9 950 |
9 748 (30.03) |
202 (27.79) |
10 038 |
9 869 (31.47) |
169 (25.15) |
Too Much |
8 380 |
8 107 (24.97) |
273 (37.55) |
7 795 |
7 554 (24.09) |
241 (35.86) |
Maternal Age (years) |
|
|
|
|
|
|
< 18 years |
1 422 |
1 390 (4.28) |
32 (4.40) |
1 317 |
1 293 (4.12) |
24 (3.57) |
18-<35 years |
27 918 |
27 357 (84.27) |
561 (77.17) |
26 886 |
26 360 (84.05) |
526 (78.27) |
35 years or older |
3 851 |
3 717 (11.45) |
134 (18.43) |
3 832 |
3 710 (11.83) |
122 (18.15) |
Maternal Race/Ethnicity |
|
|
|
|
|
|
Non-Hispanic white |
20 059 |
19 655 (59.21) |
404 (55.57) |
19 213 |
18 830 (60.04) |
383 (56.99) |
Non-Hispanic black |
8 218 |
8 022 (24.71) |
196 (26.96) |
8 013 |
7 836 (24.98) |
177 (26.34) |
Hispanic |
2 800 |
2 706 (8.33) |
94 (12.93) |
2 756 |
2 682 (8.35) |
74 (11.01) |
Asian/Pacific Islander |
1 925 |
1 897 (5.84) |
28 (3.85) |
1 824 |
1 794 (5.72) |
30 (4.46) |
Other/Multi/Unknown |
191 |
186 (0.57) |
5 (0.69) |
229 |
221 (.70) |
8 (1.19) |
Mother's Years of Education |
|
|
|
|
|
|
0-8 years |
2 360 |
2 309 (7.17) |
51 (7.04) |
2045 |
2 009 (6.46) |
36 (5.41) |
9-11 years |
7 831 |
7 699 ((23.90) |
132 (18.23) |
7 504 |
7 352 (23.65) |
152 (22.86) |
12 years |
11 145 |
10 877 (33.77) |
268 (37.02) |
10 399 |
10 169 (32.71) |
230 (34.59) |
13-15 years |
7 445 |
7 251 (22.51) |
194 (26.60) |
7 699 |
7 529 (24.22) |
170 (25.56) |
16 years or more |
4 153 |
4 074 (12.65) |
79 (10.91) |
4 102 |
4 025 (12.95) |
77 (11.58) |
Adequacy of Prenatal Care Utilization Index |
|
|
|
|
|
|
Not Adequate |
901 |
878 (43.10) |
23 (33.33) |
791 |
777 (39.66) |
14 (26.42) |
Adequate |
1,189 |
1,147 (56.31) |
42 (60.87) |
1,201 |
1,162 (59.32) |
39 (73.58) |
Adequate Plus |
16 |
12 (0.59) |
4 (5.80) |
20 |
20 (1.02) |
0 (0.00) |
Primary Payer for |
|
|
|
|
|
|
Uninsured |
1 084 |
1 060 (3.26) |
24 (3.30) |
888 |
871 (2.78) |
17 (2.53) |
Private Insurance |
13 920 |
13 676 (42.12) |
244 (33.56) |
13 295 |
13 705 (41.69) |
220 (32.74) |
Medi-Cal |
16 236 |
15 851 (48.82) |
385 (52.96) |
15 844 |
15 473 (49.34) |
371 (55.21) |
Other |
1 953 |
1 879 (5.79) |
74 (10.18) |
2 008 |
1 944 (6.20) |
64 (9.52) |
Table 2. Crude, age-adjusted, and multivariable odds ratios with 95% confidence interval limits for preeclampsia outcome alone among mothers in San Bernardino County in 2007 and 2008. |
||||||
|
2007 (n=705) |
2008 (n=656) |
||||
|
Crude |
Age-Adjusted1 |
Multivariable2 |
Crude |
Age-Adjusted1 |
Multivariable2 |
Maternal Pre-pregnancy |
|
|
|
|
|
|
Underweight |
0.49 |
0.50 |
0.50 |
0.92 |
0.94 |
0.92 |
Normal Weight |
1.00 |
1.00 |
||||
Overweight |
1.41 (1.15, 1.72) |
1.39 (1.13, 1.70) |
1.42 |
1.88 |
1.86 |
1.88 |
Obese |
2.32 |
2.32 |
2.26 |
2.81 |
2.78 |
2.77 |
IOM Qualitative Weight Gain |
|
|
|
|
|
|
Too Little |
0.83 |
0.80 |
0.82 |
1.00 |
1.08 |
1.11 |
Just Right |
1.00 |
1.00 |
||||
Too Much |
1.63 |
1.64 |
1.61 |
1.86 |
1.89 |
1.84 |
1 - Age-adjusted model is crude model + maternal age a confounder. |
||||||
2 - Multivariable model adjusts for maternal age, race/ethnicity, years of education, Adequate of Prenatal Care Utilization index, and primary payer for prenatal care. |
Table 3. Crude, age-adjusted, and multivariable odds ratios with 95% confidence interval limits for preeclampsia and eclampsia outcomes combined among mothers in San Bernardino County in 2007 and 2008. |
||||||
|
2007 (n=727) |
2008 (n=626) |
||||
|
Crude |
Age-Adjusted1 |
Multivariable2 |
Crude |
Age-Adjusted1 |
Multivariable2 |
Maternal Pre-pregnancy |
|
|
|
|
|
|
Underweight |
0.52 |
0.52 |
0.52 |
0.89 |
0.90 |
0.88 |
Normal Weight |
1.00 |
1.00 |
||||
Overweight |
1.42 |
1.40 |
1.43 |
1.85 |
1.83 |
1.85 |
Obese |
2.37 |
2.36 |
2.31 |
2.72 |
2.69 |
2.68 |
IOM Qualitative Weight Gain |
|
|
|
|
|
|
Too Little |
0.82 |
0.81 |
0.82 |
1.10 |
1.08 |
1.10 |
Just Right |
1.00 |
1.00 |
||||
Too Much |
1.63 |
1.64 |
1.60 |
1.86 |
1.89 |
1.84 |
1 - Age-adjusted model is crude model + maternal age a confounder. |
||||||
2 - Multivariable model adjusts for maternal age, race/ethnicity, years of education, Adequate of Prenatal Care Utilization index, and primary payer for prenatal care. |