Psychosocial deprivation in women with gestational diabetes mellitus is associated with poor fetomaternal prognoses: an observational study

BMJ Open
Emmanuel CossonPaul Valensi

Abstract

To evaluate the prognoses associated with psychosocial deprivation in women with gestational diabetes mellitus (GDM). Observational study considering the 1498 multiethnic women with GDM who gave birth between January 2009 and February 2012. Four largest maternity units in the northeastern suburban area of Paris. The 994 women who completed the Evaluation of Precarity and Inequalities in Health Examination Centers (EPICES) questionnaire. Main complications of GDM (large infant for gestational age (LGA), shoulder dystocia, caesarean section, pre-eclampsia). Psychosocial deprivation (EPICES score ≥30.17) affected 577 women (56%) and was positively associated with overweight/obesity, parity and non-European origin, and negatively associated with family history of diabetes, fruit and vegetable consumption and working status. The psychosocially deprived women were diagnosed with GDM earlier, received insulin treatment during pregnancy more often and were more likely to have LGA infants (15.1% vs 10.6%, OR=1.5 (95% CI 1.02 to 2.2), p<0.05) and shoulder dystocia (3.1% vs 1.2%, OR=2.7 (0.97 to 7.2), p<0.05). In addition to psychosocial deprivation, LGA was associated with greater parity, obesity, history of GDM, ethnicity, excessive ges...Continue Reading

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Citations

Nov 9, 2016·Obstetrics and Gynecology·Laura C ColicchiaJudy C Chang
Oct 10, 2020·Journal of Women's Health·Sarah BenatarIan Hill
Apr 2, 2021·Future Healthcare Journal·Kate WomersleyJane Elizabeth Hirst
May 20, 2020·Diabetes Spectrum : a Publication of the American Diabetes Association·Lynn M YeeMelissa A Simon

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