This retrospective cohort study used linked birth certificate and hospital discharge data for 8609 of the 100,691 self-identifying non-Hispanic Black women with gestational diabetes (GDM) who had a singleton live birth between 20 and 44 weeks gestation in California in 2013-2017. Findings suggest that foreign-born status remained protective of preterm birth (PTB), irrespective of severity and subtype. Preeclampsia, PTB, and GDM share pathophysiologic mechanisms suggesting a need to better understand differences in perinatal stress, chronic disease, and vascular dysfunction based on nativity in future epidemiologic studies and health services research.

https://pubmed.ncbi.nlm.nih.gov/33023524/

References

  1. Gestational Diabetes Mellitus ACOG Practice Bulletin No. 190. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2018;131:349–364.

  2. Correa A, Bardenheier B, Elixhauser A, Geiss LS, Gregg E. Trends in prevalence of diabetes among delivery hospitalizations, United States, 1993-2009. Matern Child Health J. 2015;19:635–642. doi: 10.1007/s10995-014-1553-5.

  3. Getahun D, Nath C, Ananth CV, Chavez MR, Smulian JC. Gestational diabetes in the United States: temporal trends 1989 through 2004. Am J Obstet Gynecol. 2008;198(5):525.e1–525.e5. doi: 10.1016/j.ajog.2007.11.017

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Maternal & Infant Health  Maternal Health  Maternal/Fetal health during pregnancy  

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