Table 2.
Receipt of AHA‐Recommended Tests and Assessments in the Year Before Conception Among Women With CHD and ≥1 Healthcare Encounter in the Year Before Conception, by CHD Severity and Demographic Characteristics at Conception, IBM MarketScan Commercial Databases, 2007–2013
| Total | CBC | Electrolytes | Thyroid Stimulating Hormone | Liver Function | Comprehensive Echocardiogram | ECG | Cardiopulmonary Test | |
|---|---|---|---|---|---|---|---|---|
| N | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | |
| CHD severity | * | * | * | * | * | |||
| Nonsevere | 2120 | 1165 (55.0) | 995 (46.9) | 929 (43.8) | 878 (41.4) | 736 (34.7) | 681 (32.1) | 59 (2.8) |
| Severe | 360 | 185 (51.4) | 142 (39.4) | 130 (36.1) | 127 (35.3) | 174 (48.3) | 146 (40.6) | 18 (5.0) |
| Age at conception, y | * | * | * | * | * | |||
| 15–24 | 465 | 238 (51.2) | 191 (41.1) | 124 (26.7) | 172 (37.0) | 195 (41.9) | 169 (36.3) | 12 (2.6) |
| 25–34 | 1431 | 750 (52.4) | 633 (44.2) | 605 (42.3) | 543 (37.9) | 532 (37.2) | 471 (32.9) | 43 (3.0) |
| 35–44 | 584 | 362 (62.0) | 313 (53.6) | 330 (56.3) | 290 (49.7) | 183 (31.3) | 187 (32.0) | 22 (3.8) |
| Region of residence† | * | * | * | * | * | |||
| Northeast | 421 | 254 (60.3) | 214 (50.8) | 192 (45.6) | 194 (46.1) | 154 (36.6) | 170 (40.4) | 17 (4.0) |
| Midwest | 623 | 298 (47.8) | 249 (40.0) | 250 (40.1) | 204 (32.7) | 260 (41.7) | 207 (33.2) | 20 (3.2) |
| South | 788 | 473 (60.0) | 417 (52.9) | 344 (43.7) | 371 (47.1) | 322 (40.9) | 311 (39.5) | 28 (3.6) |
| West | 629 | 314 (49.9) | 247 (39.3) | 266 (42.3) | 225 (35.8) | 168 (26.7) | 133 (21.1) | 11 (1.7) |
| Year of conception | * | |||||||
| 2008–2009 | 636 | 345 (54.2) | 283 (44.5) | 263 (41.4) | 244 (38.4) | 218 (34.3) | 200 (31.4) | 26 (4.1) |
| 2010–2011 | 958 | 513 (53.3) | 433 (45.2) | 418 (43.6) | 389 (40.6) | 344 (35.9) | 311 (32.5) | 28 (2.9) |
| 2012–2013 | 886 | 492 (55.5) | 421 (47.5) | 378 (42.7) | 372 (42.0) | 348 (39.3) | 316 (35.7) | 23 (2.6) |
| Documented obstetric encounter | * | * | * | * | * | |||
| Yes | 972 | 625 (64.3) | 500 (51.4) | 521 (53.6) | 444 (45.7) | 362 (37.2) | 347 (35.7) | 31 (3.2) |
| No | 1508 | 725 (48.1) | 637 (42.4) | 538 (35.7) | 561 (37.2) | 548 (36.3) | 480 (31.8) | 46 (3.1) |
| Documented cardiology encounter | * | * | * | * | * | |||
| Yes | 696 | 409 (58.8) | 356 (51.1) | 304 (43.7) | 291 (41.8) | 486 (69.8) | 430 (61.8) | 52 (7.5) |
| No | 1784 | 941 (52.7) | 781 (43.8) | 755 (42.3) | 714 (40.0) | 424 (23.8) | 397 (22.3) | 25 (1.4) |
AHA indicates American Heart Association; CBC, complete blood count; CHD, congenital heart defects.
* Chi square P<0.05 from generalized estimating equation approach to logistic regression, accounting for multiple pregnancies per woman; assesses distribution of test/assessment by levels of maternal characteristic (eg, receipt of CBC differentially distributed by maternal age at conception).
†Nineteen pregnancies among women with no information on region of residence.