2002 Biennial OB/GYN meeting

> Ada ANMC Belcourt Brown. Chinle Claremor Crow Ft. DefianGallup PIMC
> Pine R. Rosebud Sante Fe Shiprock Sitka Tahlequa Talihina TubaC

OB/GYN FTE total 3 7.3 2 1.75 4.5 3 1 3 6 7 2 0 1.5 4 1 5 2 4.5

OB/GYN position vacant 0 1 1 0 0 1 0 1 0 1 2 \* 0 0 0 1 1 0

CNM FTE positions 4 10.5 0 \-- 7 0 0 5 8 8 6 2 4 5 0 7 2 7

CNM positions vacant 1 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 1

Others / vacant 1/0 2 4 0.55 \* 3/1 8 0 1 1 .5 0 0 1-2 5 2 2 0

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

Outpatient visits 15,130 14,929 2,663 2500 14,460 10,828 2300 \-- 18,546
22,285 10,381 3034 3,707 18,648 1,014 22,000 9,905 9,563

Vaginal deliveries 407 1,097 111 121 510 319 184 283 715 614 275 108 206
681 68 730 249 469

Cesarean deliveries 165 127 38 40 75 95 44 37 88 123 72 30 29 131 8 215
89 57

Primary 67 80 17 23 44 46 20 22 49 88 33 \-- 16 84 6 118 52 40

Repeat 50 47 21 17 31 49 24 15 39 35 39 \-- 13 47 2 97 37 17

Cesarean Rate % 28.9 10.3 25.5 24.8 12.8 22.9 19.2 11.6 10.9 16.7 20.7
21.8 12.3 16 10.5 22.7 26.3 10.4

Total deliveries 572 1226 149 161 585 414 228 320 802 737 347 138 234
812 76 945 338 546

VBACs 0 75 0 0 40 14 3 23 44 35 5 \-- 17 26 5 23 17 20

Success % 0 88 0 0 80 93 \-\-- 95 53 81 80 \-- 88 92 100 \-- 47 96

GYN Total procedures 296 774 94 129 166 245 74 \-- 257 249 191 \-- 88
498 54 600 243 222

Major 76 521 65 90 50 181 57 \-- 139 146 25 \-- 41 229 37 465 189 67

Minor 220 253 29 39 116 64 17 \-- 118 103 166 \-- 47 269 17 135 54 155

Hysterectomy 56 139 14 12 15 63 10 \-- 39 47 14 13 19 51 3 114 30 32

Abdominal 29 71 10 11 11 62 4 \-- 18 34 14 \-- 15 37 3 19 25 29

Vaginal 17 4 1 1 4 1 6 \-- 21 13 0 \-- 4 14 0 95 5 3

LAVH 10 7 3 0 0 0 \-- \-- \-- \-- 0 \-- 0 0 0 \-- 0 30

BTL 101 197 22 18 27 89 35 \-- 67 82 53 27 25 118 17 185 99 28

D/C 71 203 24 24 53 38 12 \-- 48 87 78 25 26 134 12 100 35 77

Endometrial ablation, total 12 7 0 0 0 0 0 \-- 3 \-- 0 0 0 0 0 0 0 0

Resectoscope 0 0 0 0 0 0 0 \-- 3 \-- 0 0 0 0 0 0 0 0

Thermal Ball., etc 12 2 0 0 0 0 0 \-- 0 \-- 0 0 0 0 0 0 0 0

Incontinence proced., total 9 82 4 6 8 10 5 \-- 19 \-- 1 \-- 7 6 0 39 10
8

Burch 9 \-- 3 0 1 10 3 \-- 18 \-- 1 \-- 4 5 0 28 2 8

TVT 0 \-- 0 0 0 0 2 \-- \-- \-- \-- \-- \-- 0 \-- 11 0 0

Other 0 \-- 1 6 7 0 - \-- 0 \-- 0 \-- 3 1 0 0 8 \*Urol

Other abdominal 11 \-- 0 24 7 19 3 \-- 0/1 \-- 41 \-- 16 41 7 \-- 49 23

Other major vaginal 0 \-- 0 0 4 4 4 \-- 61 \-- 7 \-- 1 0 0 \-- 1 7

Outpatient day surgery 220 \-- 65 47 \-- 109 \-- \-- 12 \-- 166 \-- 39
238 \-- \-- 106 \--

Inpatient surgery 76 \-- 29 82 \-- 136 \-- \-- 144 \-- 30 \-- 50 260 \--
\-- 69 \--

LEEP 63 102 1 6 \-- 49 8 \-- 356 \-- 19 \-- 6 \-- 10 \-- \* 10

Colposcopy 150 456 35 85 140 251 58 \-- 402 113 \-- \-- 260 91 51 420 22
123

EC readily available to all No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
\-- Yes Yes Yes Yes\* Yes Yes

Residents: OB 0 8-10 0 0 0 Y 0 Few 4 1-8 0 \-- 0 1 0 0 0 Rare

Family Med 0 3-4 0 12 \* Y 12 Few 6 \-- - \-- 2 - Y 0 Occ. 0

Want more residents \-- Yes Yes No \-- Yes No \-- \-- No \-- \-- No \--
\-- \-- No Yes\*

GDM rate % 17.5 5 9.3 6 10.8 5 \-- 11.5 14 10-15 6.2 \-- 7 - 8 18 \--
\-- 21.3 10.7

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

GDM cut off screen: other [\>]{.underline}140 [\>]{.underline}140
[\>]{.underline}140 [\>]{.underline}140 [\>]{.underline}130
[\>]{.underline}140 [\>]{.underline}140 [\>]{.underline}140
[\>]{.underline}140 [\>]{.underline}140 \-- [\>]{.underline}140
[\>]{.underline}140 \-- [\>]{.underline}130 [\>]{.underline}140
[\>]{.underline}140

GDM diagnostic criteria O'Sull O'Sull O'Sull O'Sull C/C C/C C/C C/C C/C
O'Sull O'Sull \-- O'Sull O'Sull O'Sull C/C O'Sull C/C

GDM pp FBS/OGTT OGTT Both Other FBS OGTT Both FBS Both OGTT Both FBS \--
OGTT Both Other OGTT Other OGTT

Internet readily available \-- Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
\-- Yes Yes Yes Yes Yes Yes

\* Other issues raised