Authors: LaVallie DL, Gabbe SG, Grossman DC., Larson EB, Baldwin LM., Andrilla CH

Publication Year: 2003

Last Updated: 2016-01-08

Journal: Journal of Reproductive Medicine

Keywords: maternal characteristics; American Indian; Alaska Native; African American; birth/infant death; prenatal care; macrosomia; muscuoloskeletal; chromosomal; gestational diabetes; pregnancy outcome;

Abstract:

OBJECTIVE: To describe perinatal outcomes and maternal characteristics among American Indian/Alaska Native (AI/AN) women with diabetes in pregnancy.

STUDY DESIGN: A retrospective analysis of live births to AI/AN, African American and white women with diabetes (242,715) during pregnancy for the 1989-1991 period (latest available at the time of study) was conducted utilizing a linked birth/infant death database from the National Center for Health Statistics. AI/AN perinatal outcomes and maternal characteristics were compared to those of African American and white women. Similar analyses compared urban and rural AI/AN populations.

RESULTS: AI/AN women were more likely than white women to receive inadequate prenatal care (10.4%), to have higher rates of pregnancy-induced hypertension (9.1%) and to have significantly lower rates of primary cesarean delivery (16.9% vs. 22.3%). The rate of macrosomia among births to AI/AN women (24.2%) was notably higher as compared to that in the white population (17.9%). Rates of musculoskeletal and chromosomal anomalies were also higher among AI/AN women, 9 and 4, respectively, per 1,000 live births, as compared to 6 and 2 per 1,000 for the white population.

CONCLUSION: Multiple maternal risk factors and birth outcomes demonstrate the need for further research to evaluate methods of improving care in this population. PMID: 12971141 [PubMed - indexed for MEDLINE]

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Source: Link to Original Article.

Source: https://pubmed.ncbi.nlm.nih.gov/12971141/