Document Detail


Gestational diabetes among Bedouins in southern Israel: comparison of prevalence and neonatal outcomes with the Jewish population.
MedLine Citation:
PMID:  7949226     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Differences in the prevalence of gestational diabetes mellitus (GDM) have recently been reported between various ethnic populations. In the Negev region of Israel, a universal free screening programme for GDM was implemented in 1985. Between 1 March 1987 and 31 July 1988 11,003 deliveries occurred at the Soroka Medical Center, which provides free delivery and postnatal care to the whole Jewish and Bedouin population of the region. GDM was found in 5.7% of Jewish and in 2.4% of Bedouin women (odds ratio, 2.3, 95% confidence interval (CI) 1.8-2.9; P < 0.0001). Ethnicity was unrelated to maternal outcome, perinatal mortality or to any of the examined morbidity conditions of the newborn. The incidence of major congenital malformations was significantly higher in Jewish than in Bedouin infants of GDM women (Fisher's Exact Test, P < 0.03). Conversely, Jewish infants had fewer minor congenital anomalies (odds ratio 0.26, 95% CI 0.09-0.73). In a multivariate logistic regression model, gestational age, mode of delivery and insulin requirement during pregnancy were the only factors independently associated with neonatal morbidity. The results of this study suggest that in our health care system, among women with GDM ethnicity is not associated with an excess of unfavourable maternal or infant outcomes.
Authors:
D Fraser; S Weitzman; J R Leiberman; E Zmora; E Laron; M Karplus
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta diabetologica     Volume:  31     ISSN:  0940-5429     ISO Abbreviation:  Acta Diabetol     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-12-02     Completed Date:  1994-12-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9200299     Medline TA:  Acta Diabetol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  78-81     Citation Subset:  IM    
Affiliation:
Epidemiology and Health Services Evaluation Unit, Faculty for Health Sciences, Ben-Gurion University of the Negev, Beersheva, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Diabetes, Gestational / epidemiology*,  physiopathology*
Ethnic Groups / statistics & numerical data*
Female
Hemoglobin A, Glycosylated / analysis
Humans
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*
Israel / epidemiology
Jews
Morbidity
Odds Ratio
Postnatal Care
Pregnancy
Pregnancy Outcome
Prevalence
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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