Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia

Aims: To compare maternal and neonatal outcomes for Australian-born women with gestational diabetes mellitus with those of culturally and linguistically diverse and non-culturally and linguistically diverse foreign-born women with gestational diabetes. Methods: A total of 205 616 singleton births in...

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Main Authors: von Katterfeld, B., Li, Jianghong, McNamara, Beverley, Langridge, A.
Format: Journal Article
Published: Diabetes UK 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/12522
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author von Katterfeld, B.
Li, Jianghong
McNamara, Beverley
Langridge, A.
author_facet von Katterfeld, B.
Li, Jianghong
McNamara, Beverley
Langridge, A.
author_sort von Katterfeld, B.
building Curtin Institutional Repository
collection Online Access
description Aims: To compare maternal and neonatal outcomes for Australian-born women with gestational diabetes mellitus with those of culturally and linguistically diverse and non-culturally and linguistically diverse foreign-born women with gestational diabetes. Methods: A total of 205 616 singleton births in Western Australia between 1998 and 2006 were examined using multivariate logistic regression. Risks of ten maternal and neonatal outcomes associated with gestational diabetes were compared for gestational diabetes pregnancies to foreign-born women from both culturally and linguistically diverse and non-culturally and linguistically diverse backgrounds vs. Australian-born women. The same outcomes were also compared for pregnancies without gestational diabetes. Results: Foreign-born culturally and linguistically diverse women were more likely to undergo emergency Caesarean section, but less likely to have pre-eclampsia, an elective Caesarean section or induced labour than Australian-born women. Their infants were less likely to be large for gestational age, require resuscitation or be transferred to specialist care. These differences were also evident among pregnancies without gestational diabetes to culturally and linguistically diverse women, but did not exist between foreign-born non-culturally and linguistically diverse women and Australian-born women with gestational diabetes. Conclusions: While gestational diabetes places women and infants at increased risk of adverse perinatal outcomes, these outcomes differed for foreign-born women from culturally and linguistically diverse backgrounds when compared with Australian- born women. Further investigation is required to elucidate why being foreign-born and culturally and linguistically diverse reduces the risk of several of these outcomes.
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spelling curtin-20.500.11937-125222017-09-13T15:54:08Z Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia von Katterfeld, B. Li, Jianghong McNamara, Beverley Langridge, A. neonatal outcomes immigration maternal outcomes gestational diabetes mellitus Aims: To compare maternal and neonatal outcomes for Australian-born women with gestational diabetes mellitus with those of culturally and linguistically diverse and non-culturally and linguistically diverse foreign-born women with gestational diabetes. Methods: A total of 205 616 singleton births in Western Australia between 1998 and 2006 were examined using multivariate logistic regression. Risks of ten maternal and neonatal outcomes associated with gestational diabetes were compared for gestational diabetes pregnancies to foreign-born women from both culturally and linguistically diverse and non-culturally and linguistically diverse backgrounds vs. Australian-born women. The same outcomes were also compared for pregnancies without gestational diabetes. Results: Foreign-born culturally and linguistically diverse women were more likely to undergo emergency Caesarean section, but less likely to have pre-eclampsia, an elective Caesarean section or induced labour than Australian-born women. Their infants were less likely to be large for gestational age, require resuscitation or be transferred to specialist care. These differences were also evident among pregnancies without gestational diabetes to culturally and linguistically diverse women, but did not exist between foreign-born non-culturally and linguistically diverse women and Australian-born women with gestational diabetes. Conclusions: While gestational diabetes places women and infants at increased risk of adverse perinatal outcomes, these outcomes differed for foreign-born women from culturally and linguistically diverse backgrounds when compared with Australian- born women. Further investigation is required to elucidate why being foreign-born and culturally and linguistically diverse reduces the risk of several of these outcomes. 2012 Journal Article http://hdl.handle.net/20.500.11937/12522 10.1111/j.1464-5491.2011.03483.x Diabetes UK restricted
spellingShingle neonatal outcomes
immigration
maternal outcomes
gestational diabetes mellitus
von Katterfeld, B.
Li, Jianghong
McNamara, Beverley
Langridge, A.
Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title_full Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title_fullStr Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title_full_unstemmed Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title_short Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia
title_sort maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in western australia
topic neonatal outcomes
immigration
maternal outcomes
gestational diabetes mellitus
url http://hdl.handle.net/20.500.11937/12522