Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #116267

Caroline D. Peterson, DC, Departments of Anthropology and Epidemiology, University of South Florida, 15420 Livingston Ave. #2821, Lutz, FL 33559, 813-546-2990, carolinepeters@care2.com

Breech presentation is the most frequent birth mal-presentation. It occurs in 3-4% of all pregnancies and is associated with increased infant and maternal morbidity and mortality. Breech presentation is an enigmatic poor pregnancy outcome; rates are higher in White women and women of middle and upper class. Although breech pregnancies are thought of as high-risk pregnancies risk factors are identified in only about 15% of occurrences. Socio-cultural risk factors have not been evaluated previously. This is a population-based mixed-method case-control study. Birth registry data from the state of Florida for 1989-2003 and a linked subset of Florida birth registry and Medicaid eligibility status data for 1999-2002 will be evaluated by birth weight and by gestational age to compare breech presentation babies with cephalic presentation babies for ethnicity and socio-economic status as risk factors. In-depth interviews will be conducted with approximately 30 women who had breech presentation babies and 30 women who had cephalic presentation babies within 12 months of contact. The women will complete a psychometric instrument evaluating trait and state for depression, anger, anxiety, and curiosity, a demographic survey, and an in-depth interview relating pregnancy experiences. Secondary data will be evaluated with SAS using chi-squared, t-tests, and logistic regression. Primary data will be coded and evaluated with content analysis and thematic analysis. Results from primary and secondary data will be integrated. A profile of the at-risk population will be identified and intervention strategies will be suggested to prevent or reverse socio-cultural risk factors' impact on birth outcomes.

Learning Objectives:

Upon completion of presentation the participant will be able to
• Identify the most frequent socio-cultural risk factors for breech presentation
• Describe at-risk populations for breech presentation
• Discuss intervention strategies to countervene risk factors and to prevent breech presentation

Keywords: Birth Outcomes, MCH Epidemiology

Related Web page: www.breechbaby.info

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.