Race/ethnicity, educational attainment, and pregnancy complications in New York City women with pre-existing diabetes

Paediatric and Perinatal Epidemiology
Tamarra James-ToddDavid A Savitz

Abstract

More women are entering pregnancy with pre-existing diabetes. Disease severity, glycaemic control, and predictors of pregnancy complications may differ by race/ethnicity or educational attainment, leading to differences in adverse pregnancy outcomes. We used linked New York City hospital record and birth certificate data for 6291 singleton births among women with pre-existing diabetes between 1995 and 2003. We defined maternal race/ethnicity as non-Hispanic white, non-Hispanic black, Hispanic, South Asian, and East Asian, and education level as <12, 12, and >12 years. Our outcomes were pre-eclampsia, preterm birth (PTB) (<37 weeks gestation and categorised as spontaneous or medically indicated), as well as small-for-gestational age (SGA) and large-for-gestational age (LGA). Using multivariable binomial regression, we estimated the risk ratios for pre-eclampsia, SGA, and LGA. We used multivariable multinomial regression to estimate odds ratios (OR) for PTB. Compared with non-Hispanic white women with pre-existing diabetes, non-Hispanic black and Hispanic women with pre-existing diabetes had a 1.50-fold increased risk of pre-eclampsia compared with non-Hispanic whites with pre-existing diabetes, after full adjustment. Non-Hispani...Continue Reading

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Citations

Jul 23, 2014·BMC Pregnancy and Childbirth·Ingvil K SørbyeSiri Vangen
Oct 25, 2014·Reproduction : the Official Journal of the Society for the Study of Fertility·Matthew T RätsepB Anne Croy
Nov 26, 2019·Obstetrics and Gynecology·Hannah J CooperEllen H Lee
Oct 12, 2021·Nursing for Women's Health·Ratchanok Phonyiam, Diane C Berry

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Methods Mentioned

BETA
SGA

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