AI Article Synopsis

  • The study investigates the perinatal risks among Southeast Asian women facing gestational diabetes mellitus (GDM) or preeclampsia, focusing on Cambodian, Laotian, Vietnamese, Japanese, and non-Hispanic White women using data from Washington state (1993-2006).
  • Cambodian and Laotian women with GDM showed higher chances of having larger babies (macrosomia) compared to Japanese women, while those with GDM had lower odds of macrosomia than White women.
  • Southeast Asian women with preeclampsia experienced higher rates of preterm deliveries compared to their Japanese and White counterparts, highlighting the need for better healthcare approaches tailored to their cultural backgrounds.

Article Abstract

To examine risks for adverse perinatal outcomes among Southeast Asian women with pregnancies complicated by gestational diabetes mellitus (GDM) or preeclampsia. Perinatal outcomes of singleton births of Cambodian (3,489), Laotian (2,038), Vietnamese (11,605), Japanese (3,083) and non-Hispanic White women (33,088) were analyzed using Washington state linked birth certificate and hospitalization discharge records (1993-2006). Both Cambodian (aOR = 1.68) and Laotian (aOR = 1.71) women with GDM had increased odds of macrosomia when compared with Japanese women with GDM. Southeast Asian women with GDM had reduced odds of macrosomia when compared with White women. Southeast Asian women with preeclampsia had increased odds for preterm delivery when compared with Japanese and White women with preeclampsia. Research is needed to understand why Southeast Asian women with GDM are more likely to have better perinatal outcomes when compared with White women. Vigilant monitoring and culturally sensitive care for Southeast Asian women with preeclampsia is needed.

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Source
http://dx.doi.org/10.1007/s10903-011-9537-7DOI Listing

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