Role of patient education level in predicting macrosomia among women with gestational diabetes mellitus

Journal of Perinatology : Official Journal of the California Perinatal Association
J H ChungC A Major

Abstract

To evaluate the role of education level in predicting the risk of macrosomia among women with gestational diabetes mellitus. Women with gestational diabetes, who were referred to the California Diabetes and Pregnancy Sweet Success Program between June 2001 and December 2002, were included in the study. Multiple logistic regression was used estimate the risk of macrosomia, defined as a birth weight >4000 g. Compared to college-educated women, high school- and middle school-educated women were 21% (relative risk (RR), 1.21; 95% confidence intervals (CI), 1.01-1.44) and 35% (RR, 1.35; 95% CI, 1.09-1.70) more likely to deliver a macrosomic infant, respectively. Gestational diabetics with a lower level of educational attainment appear to have an increased risk of macrosomia. Future studies are necessary to determine whether this finding reflects a variation in adherence to recommended treatments by education/literacy level, or if it is a surrogate marker for intrinsic, biological differences or differences in lifestyle.

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Citations

Jul 21, 2010·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
Jul 6, 2015·BMC Pregnancy and Childbirth·Mary Carolan-OlahGillian Krenzin
Apr 24, 2018·Journal of Midwifery & Women's Health·Elizabeth A HowellWilliam A Grobman
Apr 24, 2018·Obstetrics and Gynecology·Elizabeth A HowellWilliam A Grobman
Dec 5, 2019·Diabetes Spectrum : a Publication of the American Diabetes Association·Sean S DaneshmandArij Faksh

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