TABLE 1—
Baseline Characteristics of Patient Study Participants by Provider Type at 22 California Clinical Facilities: August 2007–August 2011
| Patient Characteristic | Physicians (n = 5812), % or Mean ±SD | NPs–CNMs–PAs (n = 5675), % or Mean ±SD | Pa |
| Age, y | 25.7 ±6.1 | 25.6 ±5.9 | .01 |
| 16–19 | 12.9 | 13.5 | .73 |
| 20–24 (Ref) | 39.0 | 39.0 | |
| 25–34 | 36.9 | 37.4 | .83 |
| ≥ 35 | 11.2 | 10.1 | .06 |
| Race/ethnicityb | |||
| White, non-Hispanic (Ref) | 29.3 | 29.5 | |
| Black, non-Hispanic | 12.1 | 13.8 | .03 |
| Hispanic | 40.6 | 40.4 | .87 |
| Asian, non-Hispanic | 8.3 | 6.6 | .01 |
| Other, non-Hispanic | 8.7 | 8.5 | .83 |
| Insurance type | |||
| No coverage (Ref) | 24.7 | 26.5 | |
| Medi-Calc | 56.3 | 54.1 | .68 |
| Private | 11.9 | 14.1 | .67 |
| Other | 7.1 | 5.3 | <.001 |
| Gestational age, d | |||
| < 36 (Ref) | 2.5 | 2.7 | |
| 36–49 | 31.5 | 33.3 | .26 |
| 50–63 | 32.1 | 33.1 | .36 |
| ≥ 64 | 33.9 | 30.9 | .93 |
| Gravidity | |||
| ≤ 1 (Ref) | 27.2 | 26.9 | |
| 2 | 20.6 | 21.5 | .25 |
| 3 | 18.3 | 17.4 | .55 |
| ≥ 4 | 33.9 | 34.1 | .59 |
| Parityd | |||
| 0 (Ref) | 44.2 | 44.9 | |
| 1 | 24.8 | 24.1 | .63 |
| ≥ 2 | 30.8 | 30.7 | .97 |
| Previous cesarean deliveries | |||
| 0 (Ref) | 86.5 | 86.7 | |
| ≥ 1 | 13.5 | 13.3 | .21 |
| Previous miscarriagese | |||
| 0 (Ref) | 82.3 | 82.7 | |
| 1 | 13.9 | 13.2 | .2 |
| ≥ 2 | 3.5 | 3.6 | .99 |
| Previous induced abortionsf | |||
| 0 (Ref) | 52.3 | 51.5 | |
| 1 | 28.0 | 28.6 | .46 |
| ≥ 2 | 19.5 | 19.6 | .7 |
| Tested positive for an STI | 3.6 | 3.4 | .77 |
| Risk factorsg | |||
| Extreme obesity (BMI > 40 kg/m2) | 2.3 | 2.2 | .33 |
| Existing chronic illness | 5.0 | 4.9 | .72 |
| Placenta previa (16–18 wk) | 0.0 | 0.0 | .32 |
| Psychiatric condition | 3.3 | 3.2 | .61 |
Note. BMI = body mass Index; CNM = certified nurse midwife; NP = nurse practitioner; PA = physician assistant; STI = sexually transmitted infection. Physicians had completed a residency in either obstetrics and gynecology or family medicine. Missing data on age (n = 18), patient insurance (n = 35), cesarean delivery history (n = 82), and gravidity (n = 7) were recoded to mean age, no insurance, no history of cesarean delivery, and median gravidity, respectively. Missing data on gestational age by ultrasound (n = 85) were recoded to gestational age by last menstrual period; where those data were also missing, they were recoded to the mean gestational age by ultrasound. For other missing variables, we created a new variable for missing.
P values are based on a significance level of .05 and were calculated using mixed-effects logistic regression for dichotomous variables, mixed-effects multinomial logistic regression for categorical variables, and mixed-effects linear regression models for continuous variables, all of which included random effects for facility.
Data missing for 70 women in the NP–CNM–PA group and 56 in the physician group.
California’s Medicaid program.
Data missing for 11 women in each provider group.
Data missing for 25 women in the NP–CNM–PA group and 20 in the physician group.
Data missing for 17 women in the NP–CNM–PA group and 18 in the physician group.
All risk factor variables are dichotomous (no–yes). “No” is the reference category (not shown in table).