Pregnancy experience among women with and without gestational diabetes in the US, 1995 National Survey of Family Growth

被引:30
作者
Saydah, SH
Chandra, A
Eberhardt, MS
机构
[1] Natl Ctr Hlth Stat, Ctr Dis Control & Prevent, Hyattsville, MD 20782 USA
[2] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Hyattsville, MD 20782 USA
关键词
D O I
10.2337/diacare.28.5.1035
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To compare the pregnancy experience among women with and without survey gestational diabetes mellitus (GDM) using a nationally representative survey. RESEARCH DESIGN AND METHODS - We analyzed data from the 1995 National Survey of Family Growth conducted by National Center for Health Statistics on 3,088 women. ears with at least One pregnancy between 1991 and 1995 to compare demographics, fecundity, and pregnancy experience by GDM (n = 116) or nondiabetes (it = 2,969) Status. RESULTS - Am:m women with a pregnancy during 1.991-1995, 3.6 % reported GDM history. Women with GDM were older at age of delivery (31.8 years) than women Without diabetes (29.0 vears, P < 0.001). There was no significant difference between the groups by race/ethnicity. compared with women without diabetes, women With gestational diabetes were more likely to report being currently surgically sterile (20.4 vs. 32.6 %) or having impaired fecundity (12.6 vs. 19.7 %, P < 0.001). GDM patients were more likely to have had a caesarean section than those without diabetes (31.7 vs. 20.9 %, P = 0.02) and were more likely to report at least one of six additional nonroutine medical complications during pregnancy than nondiabetic patients (48.8 vs. 17.1 %, P < 0.001). The odds ratio of a maternal medical complication during pregnancy for women with GDM compared with nondiabetic women, after adjusting for age at pregnancy and nongestational hypertension, was 4.3 (95 % Cl 2.7-6.8). CONCLUSIONS- These findings suggest that pregnancies in women With GDM are more likely to be associated with maternal medical complications compared with pregnancies in women without diabetes.
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收藏
页码:1035 / 1040
页数:6
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