2004 Biennial OB/GYN meeting\*\*

> **Ada@** ANMC Belcourt Brown. Chinle Claremor Crow FDIH **Gallup@**
> Lawton PIMC Pine R. Rosebud Sitka Shiprock Tahlequa Talihina TubaC

OB/GYN FTE total 3 9.3 2 1.75 4.5 3 1 3 6 2 8 1 2 1 4 6 2 5

OB/GYN position vacant 0 0 1 0 0.5 2 0 0 0 0 0 1 0 0 0 1 0 1

CNM FTE positions 4 12 - - 7 - - 6 8 - 9 3 2 0 5 7 2.5 7

CNM positions vacant 1 1 - - 0.7 - - 0 1 - 0 0 1 0 0 0 1 0

Others / vacant 1 / 0 2 / 0 2 / 0 0.5 / 0 0.2 4 / 0 8 / 0 - 1 1 FPs 0 0
0 13 2 2 -

Funding: IHS / Tribal / other Tribal Tribal IHS IHS IHS IHS IHS IHS IHS
IHS IHS IHS IHS Tribal IHS IHS Tribal Tribal

Outpatient visits 15, 130 25,664 3,341 5,219 15,574 10,707 2,400 10,048
18, 546 8.020 17,916 11,924 3,657 1,290 17,894 25,020 9,255 -

Vaginal deliveries 407 1,177 114 158 515 260 162 360 715 97 649 303 129
62 586 675 279 436

Cesarean deliveries 165 130 39 47 79 118 41 50 88 46 167 68 25 19 163
271 106 59

Primary 67 77 16 25 (15%) 39 50 23 39 49 22 (15%) 90 37 11 12 80 155 42
32

Repeat 50 53 23 22 40 68 18 21 39 24 77 31 14 7 83 116 64 27

Cesarean Rate % 28.9 10.1 24.7 26 13.3 31 19.2 12.2 10.9 32 20 18.3 13
23 21.9 28 34 12

Total deliveries 572 1,315 153 180 594 378 213 410 802 143 816 371 194
81 749 946 306 495

VBACs 0 52 0 0 29 5 0 / 3 17 44 4 33 5 2\* 3 22 13 5 24

Success % - 90 0 0 74 60 0 85 53 - 77 - - 60 81.5 - 100 85

GYN Total procedures 296 708 103 152 163 247 104 163 257 204 275 122 108
69 256 917 159 281

Major 76 554 67 68 65 179 - 62 139 96 123 46 66 30 158 527 101 211

Minor 220 428 36 80 123 68 - 101 118 108 152 76 42 30 98 390 58 70

Hysterectomy 56 112 23 16 5 61 10 23 39 28 28 4 11 3 80 102 20 25

Abdominal 29 55 18 9 5 47 4 16 18 24 22 4 7 3 54 41 13 20

Vaginal 17 53 4 4 0 14 6 4 21 4 6 0 2 0 24 29 7 5

LAVH 10 4 1 3 0 0 0 3 - - - 0 2 0 2 32 0 -

BTL 101 206 27 18 32 107 28 29 67 23 57 36 23 14 53 248 90 -

D/C 71 142 21 26 75 47 15 55 48 23 91 75 24 21 78 98 58 -

Endometrial ablation, total 12 41 0 0 0 0 0 0 3 0 4 0 1 0 0 5 0 0

Resectoscope 0 - - - 0 - - - 3 - 1 0 - - - 0 - -

Thermal Ball., etc 12 41 - - 0 - - - 0 - 3 0 - - - 5 - -

Incontinence proced., total 9 87 1 4 13 6 7 18 19 2 5 1 6 0 20 30 0 40

Burch 9 - 1 0 5 1 2 3 18 2 3 1 2 - 4 7 - 30

TVT 0 - - 1 5 0 5 15 - - 0 0 4 - - 13 - 10

Other 0 - - 3 4 5 - - 0 - 3 0 - - - 10 - 5

Other abdominal 11 - 13 7 8 32 6 4 0 / 1 30 27 5 23 4 - 38 3 -

Other major vaginal 0 - 3 6 3 4 6 3 61 8 57 0 - 0 27 21 1 -

Outpatient day surgery 220 428 - 71 110 116 64 115 12 91 200 117 86 - -
364 130 -

Inpatient surgery 76 554 - 83 60 131 40 48 144 96 75 5 22 - - 148 29 -

LEEP 63 45 8 / 6 16 10 47 13 3 - 34 120 17\* 12 12 16 124 10 10

Colposcopy 150 311 57 85 150 233 89 50 402 179 450 115\* 55 37 225 479
120 121

Residents: OB 0 8-10 0 0 1 1 0 0 4 0 0 0 0 - Vary 0 0 0

Family Med 0 3-4 0 0 1 1 - - 6 2 0 6 0 - Vary 0 0 0

Other 0 1 - - 1 2 - - 0 - 4 1 3 - - 8-12 0 1

Want more residents - Yes - No No Yes No No - Yes OB Yes OB Yes OB Yes
No - No No Yes

DM pregn: GDM / Pre-exist 17.5 5 / - 9 / - 5 /- 11 4 / 6.7 - 6.6 14 13 7
/ 11 - 3.5 4 20.1 14 30 -

GDM screen 1^st^ trimester: High High High All All All All All High All
All All All High All High All -

GDM cut off screen: Other 140 140 140 140 130 140 140 140 140 140 140
140 140 140 140 140 135

GDM diagnostic criteria NDDG NDDG NDDG NDDG CC CC CC CC CC NDDG NDDG
NDDG NDDG NDDG NDDG CC NDDG CC

GDM pp FBS / OGTT OGTT Both OGTT FBS OGTT Both FBS Both OGTT Both Both
Both OGTT FBS OGTT OGTT OGTT OGTT

Cesarean Del on Demand - Rare No Rare Open to Rare Rare No - No Rare No
Rare No Rare No - No

8/2/04njm \* Other issues raised @ = 2002 data \*\* Sante Fe 2004 not
reported at press time