Perinatal outcomes among different Asian-American subgroups.

Abstract:

OBJECTIVE:The objective of the study was to investigate the differences in perinatal outcomes between various Asian ethnic subgroups at a national level. STUDY DESIGN:This is a retrospective cohort study of all non-Hispanic Chinese, Japanese, Filipino, Asian Indian, Korean, Vietnamese, Samoan, Guamanian, and Hawaiian women whose deliveries were recorded by US birth certificates within the year 2003. Perinatal outcomes were compared between groups and potential confounders controlled for with multivariable logistic regression. RESULTS:We found significant differences (P < .001) in the incidence of all perinatal outcomes of interest among the different Asian subgroups. These differences persisted after adjusting for potential confounders. The incidence of diabetes in pregnancy varied from 2.9% (Korean) to 5.7% (Filipina). CONCLUSION:Our study demonstrates significant differences in preterm labor, primary cesarean delivery, pregnancy-associated hypertension, eclampsia, diabetes in pregnancy, low birthweight, macrosomia, and cephalopelvic disproportion among Asian subgroups at a national level, affirming the importance of examining these subgroups separately.

journal_name

Am J Obstet Gynecol

authors

Wong LF,Caughey AB,Nakagawa S,Kaimal AJ,Tran SH,Cheng YW

doi

10.1016/j.ajog.2008.06.073

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

382.e1-6

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(08)00705-9

journal_volume

199

pub_type

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