Journal of Immigrant and Minority Health

, Volume 14, Issue 5, pp 747–753

Perinatal Outcomes of Southeast Asians with Pregnancies Complicated by Gestational Diabetes Mellitus or Preeclampsia

  • Swee May Cripe
  • William O’Brien
  • Bizu Gelaye
  • Michelle A. Williams
Original Paper

DOI: 10.1007/s10903-011-9537-7

Cite this article as:
Cripe, S.M., O’Brien, W., Gelaye, B. et al. J Immigrant Minority Health (2012) 14: 747. doi:10.1007/s10903-011-9537-7

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.

Keywords

Gestational diabetes mellitusPerinatal outcomesPreeclampsiaSoutheast Asians

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Swee May Cripe
    • 1
  • William O’Brien
    • 1
  • Bizu Gelaye
    • 1
  • Michelle A. Williams
    • 2
  1. 1.Department of EpidemiologyUniversity of WashingtonSeattleUSA
  2. 2.Department of EpidemiologyHarvard School of Public HealthBostonUSA