Outcome of Pregnancy Among Immigrant Women With Diabetes
| Autor: | Per Magnus, Camilla Stoltenberg, Narve Moe, Synne Holan, Siri Vangen, Babill Stray-Pedersen, Jennifer R. Harris |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism Pregnancy in Diabetics Type 2 diabetes Ethnic origin Impaired glucose tolerance Africa Northern Pregnancy Risk Factors Diabetes mellitus Ethnicity Prevalence Internal Medicine medicine Humans Risk factor Demography Advanced and Specialized Nursing Norway business.industry Pregnancy Outcome Odds ratio Emigration and Immigration medicine.disease Low birth weight Diabetes Mellitus Type 2 Social Class Female medicine.symptom business Maternal Age |
| Zdroj: | Diabetes Care. 26:327-332 |
| ISSN: | 1935-5548 0149-5992 |
| DOI: | 10.2337/diacare.26.2.327 |
| Popis: | OBJECTIVE—We studied outcome of pregnancy among immigrant women with diabetes. The women came from regions of the world with high incidence of impaired glucose tolerance and type 2 diabetes. Prevalences, secular trends, and sociodemographic risk factors of diabetes were also explored.RESEARCH DESIGN AND METHODS—Data from the Medical Birth Registry of Norway on all births from 1988 to 1998 for mothers born in South Asia and North Africa (11,268) and Norway (601,785) were analyzed.RESULTS—The prevalence of pregestational diabetes among the immigrants was 8.9/1,000 births, which was more than twice the rate among ethnic Norwegians (3.6/1,000). Time trends indicated increasing prevalences in both groups. Among the immigrants, diabetes was closely associated with maternal age. Maternal diabetes was associated with a significantly increased risk of pregnancy complications in both study groups. Increased risks were found for low birth weight, macrosomia, preterm birth, preeclampsia, and cesarean sections. Among ethnic Norwegians, maternal diabetes conferred a significantly increased risk of infant perinatal death (odds ratio 2.00, 95% CI 1,44–2.77). In the sample of immigrant women with predominantly type 2 diabetes, maternal diabetes was not significantly associated with perinatal death or congenital malformations in the offspring.CONCLUSIONS—The high prevalence of diabetes among immigrants from South Asia and North Africa represents a challenge for health care providers. To prevent adverse pregnancy outcomes and later cardiovascular and renal morbidity among these groups, early diagnosis of diabetes, adequate metabolic control, and relevant preventive measures are warranted. |
| Databáze: | OpenAIRE |
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