Racial Disparities in Perinatal Outcomes Among Women with Gestational Diabetes

Journal of Women's Health, 05/09/2012

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.

Results

  • 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.

Print Article Summary Cat 2 CME Report