Date of Conferral

2022

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

Sumner Davis

Abstract

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional design, secondary data (N = 884) from the Centers for Disease Control and Prevention were analyzed using multiple logistic regression modeling. The data set included data on fetal deaths occurring from 2014 to 2018 among women with a previous C-section in the United States. The results show a statistically significant relationship between maternal cigarette/tobacco use and the odds of fetal death. There was also a statistically significant association between maternal race and fetal death among women with previous C-section(s) in the United States. This study provides insight on the factors that contribute to fetal death in the United States that may inform policy development. By addressing the accessibility and usage of cigarettes and related products among pregnant women, especially those with a previous C-section, policy makers may be able to improve fetal outcomes, particularly among African American women.

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