Document Detail


Pregnancy experience among women with and without gestational diabetes in the U.S., 1995 National Survey Of Family Growth.
MedLine Citation:
PMID:  15855563     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the pregnancy experience among women with and without gestational diabetes mellitus (GDM) using a nationally representative survey. RESEARCH DESIGN AND METHODS: We analyzed data from the 1995 National Survey of Family Growth conducted by National Center for Health Statistics on 3,088 women age 15-44 years with at least one pregnancy between 1991 and 1995 to compare demographics, fecundity, and pregnancy experience by GDM (n = 116) or nondiabetes (n = 2,969) status. RESULTS: Among women with a pregnancy during 1991-1995, 3.6% reported GDM history. Women with GDM were older at age of delivery (31.8 years) than women without diabetes (29.0 years, P < 0.001). There was no significant difference between the groups by race/ethnicity. Compared with women without diabetes, women with gestational diabetes were more likely to report being currently surgically sterile (20.4 vs. 32.6%) or having impaired fecundity (12.6 vs. 19.7%, P < 0.001). GDM patients were more likely to have had a caesarean section than those without diabetes (31.7 vs. 20.9%, P = 0.02) and were more likely to report at least one of six additional nonroutine medical complications during pregnancy than nondiabetic patients (48.8 vs. 17.1%, P < 0.001). The odds ratio of a maternal medical complication during pregnancy for women with GDM compared with nondiabetic women, after adjusting for age at pregnancy and nongestational hypertension, was 4.3 (95% CI 2.7-6.8). CONCLUSIONS: These findings suggest that pregnancies in women with GDM are more likely to be associated with maternal medical complications compared with pregnancies in women without diabetes.
Authors:
Sharon H Saydah; Anjani Chandra; Mark S Eberhardt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Diabetes care     Volume:  28     ISSN:  0149-5992     ISO Abbreviation:  Diabetes Care     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-27     Completed Date:  2005-08-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1035-40     Citation Subset:  IM    
Affiliation:
National Centers for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, MD 20782, USA. ssaydah@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cesarean Section / statistics & numerical data
Data Collection
Diabetes, Gestational / epidemiology*
Female
Health Status
Humans
Infertility, Female / epidemiology
Logistic Models
Maternal Age
Parity
Pregnancy
Pregnancy Outcome / epidemiology*
United States / epidemiology

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


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