Gynecological Endocrinology
Volume 27, Issue 6, 2011, Pages 379-383

Pregnancy outcome in immigrant women with gestational diabetes mellitus (Article)

Dalfrà M.G. , Ragazzi E. , Masin M. , Bonsembiante B. , Cosma C. , Barison A. , Toniato R. , Fedele D. , Lapolla A.*
  • a Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • b Department of Pharmacology and Anesthesiology, Padova University, Padova, Italy
  • c Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • d Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • e Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • f Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • g Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • h Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy
  • i Department of Medical and Surgical Sciences, Padova University, Via Giustiniani n 2, 35128 Padova, Italy

Abstract

Recent studies show adverse outcomes of pregnancy among immigrant women from countries with high diabetes rates. We compared maternal and fetal outcomes in immigrant and Italian women with gestational diabetes mellitus (GDM) followed up at our center. Maternal characteristics considered were age, pre-pregnancy body mass index (BMI), HbA1c, frequency of insulin treatment, timing and mode of delivery, and hypertensive disorders; and, for fetal outcome, infants large or small for gestational age, and fetal complications. Pre-pregnancy BMI and HbA1c were higher in immigrant GDM women than in Italians, and more of them were on insulin. No differences in maternal outcome emerged between the two groups. More large for gestational age (LGA) babies were born to immigrant women than to Italians, but no other differences emerged. Apart from newborn LGA, maternal and fetal outcomes were comparable in our immigrant and Italian GDM women. Immigrant GDM women have favourable outcomes if given access to health care and language and cultural barriers are removed. © 2011 Informa UK, Ltd.

Author Keywords

immigrant women Pregnancy gestational diabetes mellitus fetal outcome Maternal outcome diabetes

Index Keywords

Infant, Newborn, Diseases hyperbilirubinemia immigrant hypocalcemia Europe human controlled study priority journal Arab language hemoglobin A1c Young Adult insulin Humans ethnic difference Hemoglobin A, Glycosylated Infant, Newborn Emigrants and Immigrants maternal hypertension female large for gestational age newborn Africa pregnancy hypoglycemia Article delivery pregnancy outcome Infant, Small for Gestational Age adult major clinical study small for date infant health care access newborn hypoxia respiratory distress syndrome fetus outcome insulin treatment Italy Birth Weight body mass Fetal Macrosomia Body Mass Index gestational age Diabetes, Gestational pregnancy diabetes mellitus
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955698551&doi=10.3109%2f09513590.2010.493249&partnerID=40&md5=2742d4920bb8a6482865fa7c89cda3db
DOI: 10.3109/09513590.2010.493249
ISSN: 09513590
Cited by: 9
Original Language: English