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

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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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Authors and Affiliations

  1. Department of Epidemiology, University of Washington, 1959 NE Pacific St., Box 357236, Seattle, WA, 98195-7236, USA

    Swee May Cripe, William O’Brien & Bizu Gelaye

  2. Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave., Room 905A, Boston, MA, 02115, USA

    Michelle A. Williams

Authors
  1. Swee May Cripe
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  2. William O’Brien
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  3. Bizu Gelaye
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  4. Michelle A. Williams
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Correspondence to Swee May Cripe.

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Cripe, S.M., O’Brien, W., Gelaye, B. et al. Perinatal Outcomes of Southeast Asians with Pregnancies Complicated by Gestational Diabetes Mellitus or Preeclampsia. J Immigrant Minority Health 14, 747–753 (2012). https://doi.org/10.1007/s10903-011-9537-7

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  • DOI: https://doi.org/10.1007/s10903-011-9537-7

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