Association of types of diabetes and insulin dependency on birth outcomes.

Background: Diabetes rates among pregnant women in the United States have been increasing and are associated with adverse pregnancy outcomes.

Aim: To investigate differences in birth outcomes (preterm birth, macrosomia, and neonatal death) by diabetes status.

Methods: Cross-sectional design, using linked Missouri birth and death certificates (singleton births only), 2010 to 2012 ( = 204057).

Racial/Ethnic Differences in the Correlates of Mental Health Services Use among Pregnant Women with Depressive Symptoms.

Objectives To examine correlates of lifetime mental health services (MHS) use among pregnant women reporting prenatal depressive symptoms by race/ethnicity. Methods This cross-sectional population-based study included 81,910 pregnant women with prenatal depressive symptoms using data from the Florida Healthy Start prenatal screening program (2008-2012). Multivariable logistic regression was conducted to ascertain adjusted odds ratios and corresponding 95 % confidence intervals for racial/ethnic differences in the correlates of lifetime MHS use.

Very low birth weight and perinatal periods of risk: disparities in St. Louis.

Objective: Very low birth weight (VLBW) is a significant issue in St. Louis, Missouri. Our study evaluated risk factors associated with VLBW in this predominantly urban community.

Differences in pregnancy planning between women aged 18-44, with and without diabetes: behavioral risk factor surveillance system analysis.

Aim: Assess differences in pregnancy planning and behavioral risk factors among women of reproductive age, by diabetes status.

Methods: A secondary analysis of cross-sectional data from the Behavioral Risk Factor Surveillance System (2002 and 2004) was conducted. Subjects were 18-44-year-old, non-pregnant, fertile women, grouped into two categories: non-diabetes (n=57,436), and diabetes (n=2929).

Gestational weight gain and pregnancy outcomes in obese women: how much is enough?

Objective: To examine the effect of gestational weight change on pregnancy outcomes in obese women.

Methods: A population-based cohort study of 120,251 pregnant, obese women delivering full-term, liveborn, singleton infants was examined to assess the risk of four pregnancy outcomes (preeclampsia, cesarean delivery, small for gestational age births, and large for gestational age births) by obesity class and total gestational weight gain.

Results: Gestational weight gain incidence for overweight or obese pregnant women, less than the currently recommended 15 lb, was associated with a significantly lower risk of preeclampsia, cesarean delivery, and large for gestational age birth and higher risk of small for gestational age birth.