Brian Nguyen|Yvonne W. Cheng|Jonathan M. Snowden|Tania Esakoff|Antonio E. Frias|Aaron B. Caughey
The effect of race/ethnicity on adverse perinatal outcomes among patients with gestational diabetes mellitus
Oregon Health & Science University|University of California, San Francisco|Oregon Health & Science University|Cedars-Sinai Medical Center|Oregon Health & Science University|Oregon Health & Science University
objective purpose study determine racialethnic differences perinatal outcomes among women gestational diabetes mellitus study design conducted retrospective cohort study 32193 singleton births among women gestational diabetes mellitus california 2006 using vital statistics birth death certificate patient discharge data data divided raceethnicity white black hispanic asian multivariable logistic regression used analyze associations raceethnicity adverse outcomes controlled potential confounders outcomes included primary cesarean delivery preeclampsia neonatal hypoglycemia preterm delivery macrosomia fetal anomaly respiratory distress syndrome results compared women races black women higher odds preeclampsia adjusted odds ratio aor 157 95 confidence interval ci 147195 neonatal hypoglycemia aor 179 95 ci 107300 preterm delivery 37 weeks gestation aor 156 95 ci 133183 asian women lowest odds primary cesarean delivery aor 075 95 ci 069082 largeforgestationalage infants aor 040 95 ci 033048 neonatal respiratory distress syndrome aor 054 95 ci 040073 conclusion perinatal outcomes among women gestational diabetes mellitus differ raceethnicity may attributed inherent sociocultural differences may impact glycemic control development chronic comorbidities genetic variability variation access prenatal care quantity quality prenatal care purpose study determine racialethnic differences perinatal outcomes among women gestational diabetes mellitus conducted retrospective cohort study 32193 singleton births among women gestational diabetes mellitus california 2006 using vital statistics birth death certificate patient discharge data data divided raceethnicity white black hispanic asian multivariable logistic regression used analyze associations raceethnicity adverse outcomes controlled potential confounders outcomes included primary cesarean delivery preeclampsia neonatal hypoglycemia preterm delivery macrosomia fetal anomaly respiratory distress syndrome compared women races black women higher odds preeclampsia adjusted odds ratio aor 157 95 confidence interval ci 147195 neonatal hypoglycemia aor 179 95 ci 107300 preterm delivery 37 weeks gestation aor 156 95 ci 133183 asian women lowest odds primary cesarean delivery aor 075 95 ci 069082 largeforgestationalage infants aor 040 95 ci 033048 neonatal respiratory distress syndrome aor 054 95 ci 040073 perinatal outcomes among women gestational diabetes mellitus differ raceethnicity may attributed inherent sociocultural differences may impact glycemic control development chronic comorbidities genetic variability variation access prenatal care quantity quality prenatal care