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Outcomes of gestational diabetes in Sweden depending on country of birth
Örebro universitet, Institutionen för hälsovetenskap och medicin. Maternal Health Care Unit, Primary Care, Örebro County, Örebro, Sweden; Department of Obstetrics and Gynecology, Örebro University Hospital, Örebro, Sweden.ORCID-id: 0000-0002-2691-7525
Department of Obstetrics and Gynecology, Örebro University Hospital, Örebro, Sweden.
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Women’s and Children’ Health, Uppsala University, Uppsala, Sweden.
2012 (engelsk)Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 91, nr 11, s. 1326-1330Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: To analyze maternal and neonatal outcomes for women with gestational diabetes mellitus (GDM) in Sweden, depending on country of birth (Nordic vs. non-Nordic women).

Design: Population-based cohort study using the Swedish Medical Birth register.

Setting: Data on pregnant women in Sweden with diagnosed GDM.

Population: All singleton births to women with GDM between 1998 and 2007 (n = 8560).

Methods: Logistic regression in an adjusted model to assess the risk of adverse maternal and neonatal outcomes. Chi-squared tests or Student's unpaired t-tests were used to analyze differences between maternal and fetal characteristics.

Main outcome measures: Maternal and neonatal complications.

Results: GDM incidence was higher at 2.0% among non-Nordic women, compared with 0.7% in the Nordic group. The non-Nordic women were older, had less chronic hypertensive disease, smoked less, and had lower BMI and shorter height. Preeclampsia was significantly lower in the non-Nordic group. The mean birthweight (3561 vs. 3698 g, p < 0.001) and the large-for-gestational age rate (11.7 vs. 17.5%, p < 0.001) were significantly lower in the non-Nordic group. Large-for-gestational age was dependent on maternal height [crude odds ratio 0.6 (0.5-0.7) and adjusted odds ratio 0.8 (0.6-0.9)].

Conclusions: Non-Nordic women with GDM in Sweden have better obstetrical and neonatal outcomes than Nordic women. These results do not support the idea of inequality of health care. Large-for-gestational age as a diagnosis is highly dependent on maternal height, which raises the question of the need for individualized growth curves.

sted, utgiver, år, opplag, sider
Hoboken, USA: Wiley-Blackwell, 2012. Vol. 91, nr 11, s. 1326-1330
Emneord [en]
Gestational diabetes mellitus, ethnicity, large for gestational age, maternal and neonatal outcomes, maternal anthropometrics
HSV kategori
Forskningsprogram
Obstetrik och gynekologi
Identifikatorer
URN: urn:nbn:se:oru:diva-27157DOI: 10.1111/j.1600-0412.2012.01518.xISI: 000310546700014PubMedID: 22882165Scopus ID: 2-s2.0-84868329468OAI: oai:DiVA.org:oru-27157DiVA, id: diva2:601911
Tilgjengelig fra: 2013-01-30 Laget: 2013-01-30 Sist oppdatert: 2019-04-24bibliografisk kontrollert

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