Perinatal outcomes in patients with gestational diabetes mellitus by race/ethnicity

被引:34
|
作者
Esakoff, Tania F. [1 ]
Caughey, Aaron B. [2 ]
Block-Kurbisch, Ingrid [3 ]
Inturrisi, Maribeth [4 ]
Cheng, Yvonne W. [3 ]
机构
[1] Cedars Sinai Med Ctr, Dept Obstet & Gynecol, Los Angeles, CA 90048 USA
[2] Oregon Hlth & Sci Univ, Portland, OR USA
[3] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
[4] Univ Calif San Francisco, Sch Nursing, Dept Family Hlth, San Francisco, CA 94143 USA
来源
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2011年 / 24卷 / 03期
关键词
Gestational diabetes mellitus; race; ethnicity; perinatal; outcome; IMPAIRED GLUCOSE-TOLERANCE; 4 RACIAL/ETHNIC GROUPS; PREGNANCY OUTCOMES; BIRTH-WEIGHT; WOMEN; INTERRELATIONSHIP; MACROSOMIA; ETHNICITY; OBESITY; COHORT;
D O I
10.3109/14767058.2010.504287
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Methods. aEuro integral This is a retrospective cohort study of singleton pregnancies with GDM cared for by the Sweet Success: California Diabetes and Pregnancy Program (CDAPP) between 2001 and 2004 at inpatient obstetric and neonatal services in California. There were a total of 26,411 women with gestational diabetes who were subgrouped by four races/ethnicities: Caucasian, African-American, Latina, and Asian. The chi-squared test was used to compare the dichotomous outcomes and p < 0.05 was used to indicate statistical significance. Multivariable logistic regression analyses were performed to control for potential confounders. Perinatal outcomes, including severity of GDM, cesarean delivery (CD), birthweight, preterm birth, intrauterine fetal demise (IUFD) and neonatal intensive care unit (NICU) admission were compared. Results. aEuro integral Compared to Caucasians, African-Americans had higher odds of primary CD [aOR == 1.29, 95%% CI (1.05--1.59)] while lower odds were seen in Latinas [aOR == 0.84, 95%% CI (0.75--0.94)] and Asians [aOR == 0.86, 95%% CI (0.77--0.96)]. Asians had lower odds [aOR == 0.58 (95%% CI 0.48--0.70)] of birthweight > 4000 g. African-Americans had highest odds of IUFD [aOR == 5.93 95%% CI (1.73--20.29)]. There were no differences in NICU admission. Conclusion. aEuro integral Perinatal outcomes in women diagnosed with GDM differ by racial/ethnic group. Such variation can be used to individually counsel women with GDM.
引用
收藏
页码:422 / 426
页数:5
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