Racial Disparities in Perinatal Outcomes Among Women with Gestational Diabetes
Journal of Women's Health, 05/09/2012
Berggren EK et al. – Authors report differences between Hispanic and Caucasian women with GDM. Treatment to achieve glycemic control and reduce adverse outcomes may differ by race/ethnicity.Methods
- They conducted a 14–year retrospective cohort study of women with GDM. Selected perinatal outcomes were examined.
- Unadjusted and adjusted prevalence ratios (PR, aPR) of perinatal outcomes, comparing Hispanic and African American women with Caucasian women, were calculated.
- Hispanics comprised 54% of the 1018 woman cohort. Half received medical management of GDM (52%), more than African Americans (45%) or Caucasians (39%)(p<0.05).
- Compared with Caucasians, Hispanics had fewer deliveries <37 weeks (aPR 0.58, 95% confidence interval [CI] 0.42–0.81), less gestational hypertension (aPR 0.43, 95% CI 0.22–0.83), larger median birth weight infants (3453g vs 3291g, p<0.05), and greater risk of shoulder dystocia (aPR 3.52, 95% CI 1.30–9.50).
- Hispanic women had fewer adverse outcomes overall compared with Caucasian or African American women.