Date of Award

1-1-2017

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College/School/Department

Department of Epidemiology and Biostatistics

Program

Epidemiology

Content Description

1 online resource (ii, 202 pages) : illustrations (some color)

Dissertation/Thesis Chair

Alissa VanZutphen

Committee Members

Tabassum Insaf, George Lui, Ali Zaidi

Keywords

Access to Care, Comorbidities, Complications, Congenital Heart Disease, NYS, Pregnancy, Heart diseases in pregnancy, Congenital heart disease, Delivery (Obstetrics), Pregnant women, Prenatal care

Subject Categories

Epidemiology

Abstract

The number of adults living with congenital heart disease (CHD) now surpasses the number of children with the condition due to medical advances and the resulting increased survival rates in infants. However, much of the research focusing on proximity to specialty care for individuals with this complex condition has been with children. Pregnant women with these serious malformations are of particular concern, due to the stress of pregnancy on the circulatory system and the increase in risk for delivery complications. Few studies to date have described the healthcare utilization patterns at delivery and travel burden to specialty care for this subpopulation.

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