Association Between Contraceptive Use and Gestational Diabetes: Missouri Pregnancy Risk Assessment Monitoring System, 2007–2008
| Autor: | Brittney A. Kramer, Venkata Garikapaty, Jeremy Kintzel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Health Knowledge Attitudes Practice media_common.quotation_subject Population Logistic regression Risk Assessment Birth control Body Mass Index Contraceptives Oral Hormonal Young Adult Pregnancy Surveys and Questionnaires Medicine Humans education Contraception Behavior media_common Original Research Gynecology education.field_of_study business.industry Obstetrics Medicaid Health Policy Public Health Environmental and Occupational Health Pregnancy Unplanned Prenatal Care Odds ratio medicine.disease Confidence interval United States Gestational diabetes Diabetes Gestational Contraception Logistic Models Social Class Family planning Family Planning Services Population Surveillance Income Educational Status Female business Maternal Age |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| Popis: | INTRODUCTION: The efficacy and safety of contraceptives have been questioned for decades; however whether a relationship exists between hormonal contraceptives and gestational diabetes (GDM) is undetermined. The aim of this study was to investigate whether maternal risk for GDM was influenced by type of contraceptive method used before pregnancy. METHODS: Data collected in 2007 and 2008 by the Missouri Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed to determine if type of contraception before pregnancy influenced maternal risk for GDM. We used a logistic regression model to determine the adjusted odds for GDM given exposure to hormonal forms of contraception. RESULTS: Of the 2741 women who completed the 2007-2008 PRAMS survey 8.3% were diagnosed with gestational diabetes and 17.9% of the respondents had used hormonal contraceptive methods. Women who used hormonal methods of birth control had higher odds for gestational diabetes (adjusted odds ratio [AOR] = 1.43; 95% confidence interval [CI] 1.32-1.55) than did women who used no contraception. A protective effect was also observed for women who had used barrier methods of contraception (AOR = 0.79; 95% CI 0.72-0.86). CONCLUSION: Findings suggest there may be a relationship between type of contraceptive method and GDM. More research is needed to verify contraception as a potential risk factor for GDM. |
| Databáze: | OpenAIRE |
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