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

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Tania F EsakoffYvonne W Cheng

Abstract

To determine if racial/ethnic differences exist in perinatal outcomes in women with gestational diabetes mellitus (GDM). 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. 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 highe...Continue Reading

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Citations

Oct 18, 2011·Journal of Immigrant and Minority Health·Swee May CripeMichelle A Williams
Jan 18, 2013·Cell Stress & Chaperones·Shirlee JaffeSteven S Witkin
Jan 6, 2012·Journal of Women's Health·Erica K BerggrenAlison M Stuebe
Oct 3, 2013·BMC Research Notes·Pai-Jong Stacy TsaiTimothy Dye
Jun 26, 2012·The Journal of Clinical Endocrinology and Metabolism·Sherita Hill GoldenBlair Anton
Oct 9, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Geetha MukerjiBaiju R Shah
Mar 30, 2013·Diabetes Research and Clinical Practice·Elisa Hernandez-RivasJuan Pedro-Botet
Nov 5, 2013·Clínica e investigación en arteriosclerosis : publicación oficial de la Sociedad Española de Arteriosclerosis·Juana A Flores Le-RouxJuan Pedro-Botet
Apr 28, 2012·Diabetes Research and Clinical Practice·Juana A Flores-le RouxJuan Pedro-Botet
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Jun 6, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H MirghaniF Khan
Jul 24, 2012·American Journal of Obstetrics and Gynecology·Brian T NguyenAaron B Caughey
Sep 4, 2014·Best Practice & Research. Clinical Obstetrics & Gynaecology·Eran AshwalMoshe Hod
Jun 9, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Gulcin Sahin ErsoyOzge Cevik
Jun 9, 2016·Obstetrics and Gynecology·Emma Morton EgglestonEmily Oken
Jan 16, 2014·The Journal of Clinical Endocrinology and Metabolism·Emmanuel CossonLionel Carbillon
Mar 19, 2019·Diabetes Research and Clinical Practice·Laura MañéDavid Benaiges
Mar 3, 2020·American Journal of Perinatology·Grace C BannerLynn M Yee
Nov 11, 2021·American Journal of Perinatology·Anna PalatnikLeonard E Egede

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