Abstract:
:Objectives To examine the relationships between prepregnancy diabetes mellitus (DM), gestational diabetes mellitus (GDM), and prepregnancy body mass index, with several adverse birth outcomes: preterm delivery (PTB), low birthweight (LBW), and macrosomia, comparing American Indians and Alaska Natives (AI/AN) with other race/ethnic groups. Methods The sample includes 5,193,386 singleton US first births from 2009-2013. Logistic regression is used to calculate adjusted odds ratios controlling for calendar year, maternal age, education, marital status, Kotelchuck prenatal care index, and child's sex. Results AI/AN have higher rates of diabetes than all other groups, and higher rates of overweight and obesity than whites or Hispanics. Neither overweight nor obesity predict PTB for AI/AN, in contrast to other groups, while diabetes predicts increased odds of PTB for all groups. Being overweight predicts reduced odds of LBW for all groups, but obesity is not predictive of LBW for AI/AN. Diabetes status also does not predict LBW for AI/AN; for other groups, LBW is more likely for women with DM or GDM. Overweight, obesity, DM, and GDM all predict higher odds of macrosomia for all race/ethnic groups. Conclusions for Practice Controlling diabetes in pregnancy, as well as prepregnancy weight gain, may help decrease preterm birth and macrosomia among AI/AN.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Anderson KG,Spicer P,Peercy MTdoi
10.1007/s10995-016-2080-3subject
Has Abstractpub_date
2016-12-01 00:00:00pages
2548-2556issue
12eissn
1092-7875issn
1573-6628pii
10.1007/s10995-016-2080-3journal_volume
20pub_type
杂志文章abstract::Introduction Appropriate dietary iodine is essential for thyroid hormone synthesis, especially in young children. Following an iodine fortification in bread initiative, approximately 6 % of Australian preschool children were expected to have an excessive iodine status. The aim of this study was to document the current...
journal_title:Maternal and child health journal
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更新日期:2017-01-01 00:00:00
abstract::To explore attitudes of physicians attending births in the public and private sectors and at the managerial level toward cesarean birth in Nicaragua. A qualitative study was conducted consisting of four focus groups with 17 physicians and nine in-depth interviews with decision-makers. Although study participants liste...
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更新日期:2010-11-01 00:00:00
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journal_title:Maternal and child health journal
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journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-007-0216-1
更新日期:2008-01-01 00:00:00
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doi:10.1007/s10995-014-1560-6
更新日期:2015-04-01 00:00:00
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更新日期:2013-02-01 00:00:00
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更新日期:2013-11-01 00:00:00
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更新日期:2015-08-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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更新日期:2015-03-01 00:00:00
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更新日期:2002-06-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1855-2
更新日期:2016-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10995-006-0108-9
更新日期:2006-09-01 00:00:00
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更新日期:2021-01-01 00:00:00
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更新日期:2015-06-01 00:00:00
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journal_title:Maternal and child health journal
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更新日期:2014-07-01 00:00:00
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更新日期:2013-12-01 00:00:00
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更新日期:2016-07-01 00:00:00
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更新日期:2012-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1732-z
更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,已发布勘误
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更新日期:2018-10-01 00:00:00