2007 Native Women's Health and MCH Conference\*\*

> Ada ANMC **Belcrt@** Brown. Chinle Claremor Crow FDIH Gallup
> **Lawtn@** PIMC Pine R. Sante Fe **Sitka@** Shiprock Tahlequa
> **Talihn@** TubaC

OB/GYN FTE total 3 9.45 2 2 5 3 1 4 7 2 8 1 1 1 4 6 2 5

OB/GYN position vacant 0 0 1 1 0 3 0 2 - 0 0 1 0 0 0 0 0 0

CNM FTE positions 4 11.6 - 1 7 0 - 5 6 - 8 6 3 0 5 7 2.5 7

CNM positions vacant 0 1 - 1 1.7 0 - 1 - - 8 1 0 0 0 0 1 2

Others / vacant 1 / 0 1 / 0 2 / 0 2 / 0 1 /0 4 / 0 8 / 0 - 1.2/- 1 1/
FPs 1 0 0 FPs 1 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 17920 20,811 3,341 5,813 17,122 13,224 2,400 8,244
21,639 8.020 22,007 8,662 6,100 1,290 26,175 24,700 9,255 10,240

Vaginal deliveries 412 1,235 114 125 465 264 162 455 605 97 670 314 113
62 647 726 279 417

Cesarean deliveries 177 173 39 61 89 128 41 72 81 46 237 62 21 19 186
375 106 86

Primary 88 - 16 33 (18%) 53 70 23 45 - 22 (15%) 123 27 (8%) 3 12 87 166
42 43

Repeat 89 - 23 28 36 58 18 28 29 24 114 35 18 7 99 149 64 43

Cesarean Rate % 30 12 24.7 33 16 32 19.2 13.6 13 32 26.1 16 15 23 22.2
31 34 16

Total deliveries 589 1,408 153 186 554 392 213 527 686 143 907 376 135
81 833 1,061 306 531

VBACs 1 67 0 0 18 5 0 / 3 24 59 4 26 6 4 3 21 0 5 23

Success % - 85 0 0 78 100 0 79.1 88 - 61 - 100 60 87.5 - 100 83

GYN Total procedures 770 811 103 114 145 464 104 127 192 204 435 192 87
69 405 791 159 265

Major 250 536 67 36 67 - - 75 - 96 217 78 69 30 144 458 101 180

Minor 520 275 36 78 78 - - 84 - 108 218 114 18 30 261 263 58 85

Hysterectomy 157 126 23 11 6 129 10 22 34 28 73 6 16 3 70 101 20 35

Abdominal 25 64 18 4 6 104 4 10 17 24 56 3 10 3 33 48 13 20

Vaginal 98 52 4 1 0 22 6 10 17 4 15 3 6 0 37 29 7 13

LAVH 35 15 (5) 1 6 0 3 0 2 - - 2 - 0 0 0 15 0 2

BTL 100 154 (7) 27 18 32 152 28 35 20 23 73 34 17 14 88 191 90 21 (14)

D/C 29 127 21 36 48 84 15 28 - 23 178 79 18 21 110 129 58 -

Endometrial ablation, total 13 19 0 1 3 0 0 0 - 0 22 0 - 0 0 12 0 0

Resectoscope 0 0 - - 0 - - - - - 0 0 - - - 0 - -

Thermal Ball., etc 13 19 - - 3 - - - - - 22 0 - - - 12 - -

Incontinence proced., total 80 70 1 1 14 25 7 18 - 2 12 5 6 0 48 20 0 20

Burch 0 0 1 - 1 9 2 0 - 2 8 5 2 - 4 0 - 1

TVT 12 4 - - 13 0 5 18 - - 4 0 4 - 44 10 - 9

Other 58 66 - 1 - 16 - - - - 0 0 - - - 10 - 10

Other abdominal 32 - 13 0 2 - 6 15 - 30 87 6 15 4 13 - 3 20

Other major vaginal 26 63 3 2 5 - 6 9 - 8 31 0 10 0 61 - 1 4

Outpatient day surgery 520 - - 94 - 220 64 29 - 91 242 114 32 - 223 612
130 98

Inpatient surgery 250 - - 19 - 244 40 98 - 96 189 75 55 - 156 179 29 189

LEEP 54/14 86 8 / 6 34 - 16 13 7 - 34 126 12\* 12 12 38 77 10 20

Colposcopy 550 419 57 92 190 146 89 19 - 179 1236 361\* 540 37 - 431 120
113

Residents: OB 0 4 0 0 - 0 0 0 - 0 0 0 0 - - 0 0 -

Family Med 0 6 0 1 - 0 - - - 2 0 1-2 0 - - 0 0 -

Other 2 1 - - 2 12 - 5 - - Many 1 3 - - 6 0 -

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

DM pregn: GDM / Pre-exist 15 5 / - 9 / - - /- 11 20.5 - 8.3 14 13
4.7/8.4 - 4.5 4 20.1 14 30 16

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

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

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

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

Cesarean Del on Demand - Rare No Rare No No Rare No - No Rare No No No
Rare Rare - Rare

8/11/07njm \* Other issues raised @ = 2004 data \*\* Rosebud not
reported = No OB/GYN