TABLE 1.
Characteristic | HMO (n = 195 928), % or Median (IQR) | BlueCross (n = 69 762), % or Median (IQR) | Commercial (n = 27 507), % or Median (IQR) | Medicaid (n = 38 083), % or Median (IQR) | Self-Pay (n = 31 331), % or Median (IQR) | Total (n = 362 611), % or Median (IQR) | P |
Age, y | 29 (24–33) | 31 (27–34) | 30 (27–34) | 25 (21–29) | 26 (22–31) | 29 (24–33) | <.001 |
Race/ethnicity | <.001 | ||||||
White | 53.2 | 67.2 | 56.6 | 15.8 | 20.8 | 49.4 | |
Asian | 6.4 | 5.7 | 9.5 | 2.1 | 3.0 | 5.8 | |
Hispanic | 14.3 | 8.4 | 12.8 | 50.3 | 52.9 | 20.2 | |
Black | 16.4 | 9.8 | 9.3 | 16.0 | 10.3 | 14.0 | |
Other | 9.7 | 8.9 | 11.8 | 15.8 | 13.0 | 10.7 | |
Married | 63.9 | 82.8 | 78.2 | 24.5 | 32.1 | 61.7 | <.001 |
Nonmetropolitan core | 7.6 | 8.3 | 11.6 | 3.2 | 8.5 | 7.7 | <.001 |
Fetal heart rate abnormal | 13.0 | 13.3 | 11.8 | 13.1 | 10.3 | 12.7 | <.001 |
Preterm gestation | 7.9 | 8.1 | 7.8 | 8.5 | 9.3 | 8.1 | <.001 |
Malpresentation | 6.9 | 8.1 | 7.3 | 5.8 | 6.0 | 7.0 | <.001 |
Hypertension, other | 6.8 | 7.0 | 6.9 | 6.7 | 5.5 | 6.8 | <.001 |
Abnormal glucose tolerance | 5.8 | 6.0 | 6.7 | 5.1 | 5.0 | 5.7 | <.001 |
Oligohydramnios | 3.9 | 3.5 | 4.1 | 5.0 | 4.9 | 4.0 | <.001 |
Macrosomia | 3.2 | 3.9 | 3.5 | 1.7 | 2.1 | 3.1 | <.001 |
Mental illness | 3.1 | 2.3 | 2.0 | 4.0 | 4.0 | 3.0 | <.001 |
Maternal soft tissue | 3.0 | 3.7 | 3.3 | 1.9 | 1.9 | 2.9 | <.001 |
Rhesus isoimmunization | 2.8 | 2.9 | 3.0 | 1.6 | 1.9 | 2.7 | <.001 |
Asthma | 2.9 | 2.7 | 2.2 | 2.0 | 1.4 | 2.6 | <.001 |
Thyroid disorder | 2.6 | 3.2 | 3.0 | 0.8 | 1.1 | 2.4 | <.001 |
Antepartum bleed | 1.8 | 1.9 | 2.0 | 1.7 | 1.9 | 1.8 | .003 |
Unengaged fetal head | 1.8 | 2.1 | 1.9 | 1.4 | 1.2 | 1.8 | <.001 |
Chorioamnionitis | 1.7 | 1.3 | 1.5 | 3.1 | 2.2 | 1.8 | <.001 |
Multiple gestation | 1.8 | 2.3 | 1.8 | 0.9 | 0.9 | 1.7 | <.001 |
Intrauterine growth retardation | 1.7 | 1.7 | 1.6 | 1.6 | 1.7 | 1.7 | .26 |
Heart disease | 1.8 | 2.4 | 2.0 | 0.6 | 0.7 | 1.7 | <.001 |
Herpes | 1.6 | 1.4 | 1.3 | 1.8 | 1.5 | 1.6 | <.001 |
Severe hypertension | 0.9 | 1.1 | 1.0 | 1.3 | 1.1 | 1.0 | <.001 |
Other uterine scar | 0.3 | 0.3 | 0.3 | 0.2 | 0.1 | 0.3 | <.001 |
Substance use | 0.2 | 0.1 | 0.1 | 0.7 | 1.0 | 0.3 | <.001 |
Kidney disorder | 0.2 | 0.2 | 0.1 | 0.2 | 0.2 | 0.2 | .3 |
Liver disorders | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | .001 |
Fetal congenital anomaly | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | 0.1 | .004 |
Prelabor primary cesarean delivery | 14.0 | 16.0 | 14.4 | 11.5 | 10.8 | 13.9 | <.001 |
Labored, vaginal delivery | 74.1 | 71.0 | 73.0 | 77.5 | 79.7 | 74.3 | <.001 |
Labored, primary cesarean delivery | 11.8 | 13.0 | 12.6 | 11.0 | 9.5 | 11.8 | <.001 |
Note. HMO = health maintenance organization; IQR = interquartile range. Intracranial hemorrhage omitted because rate was < 0.1%.