Abstract
To examine risks for adverse perinatal outcomes among Southeast Asian women with pregnancies complicated by gestational diabetes
mellitus (GDM) or preeclampsia. Perinatal outcomes of singleton births of Cambodian (3,489), Laotian (2,038), Vietnamese (11,605),
Japanese (3,083) and non-Hispanic White women (33,088) were analyzed using Washington state linked birth certificate and hospitalization
discharge records (1993–2006). Both Cambodian (aOR = 1.68) and Laotian (aOR = 1.71) women with GDM had increased odds of macrosomia
when compared with Japanese women with GDM. Southeast Asian women with GDM had reduced odds of macrosomia when compared with
White women. Southeast Asian women with preeclampsia had increased odds for preterm delivery when compared with Japanese and
White women with preeclampsia. Research is needed to understand why Southeast Asian women with GDM are more likely to have
better perinatal outcomes when compared with White women. Vigilant monitoring and culturally sensitive care for Southeast
Asian women with preeclampsia is needed.
mellitus (GDM) or preeclampsia. Perinatal outcomes of singleton births of Cambodian (3,489), Laotian (2,038), Vietnamese (11,605),
Japanese (3,083) and non-Hispanic White women (33,088) were analyzed using Washington state linked birth certificate and hospitalization
discharge records (1993–2006). Both Cambodian (aOR = 1.68) and Laotian (aOR = 1.71) women with GDM had increased odds of macrosomia
when compared with Japanese women with GDM. Southeast Asian women with GDM had reduced odds of macrosomia when compared with
White women. Southeast Asian women with preeclampsia had increased odds for preterm delivery when compared with Japanese and
White women with preeclampsia. Research is needed to understand why Southeast Asian women with GDM are more likely to have
better perinatal outcomes when compared with White women. Vigilant monitoring and culturally sensitive care for Southeast
Asian women with preeclampsia is needed.
- Content Type Journal Article
- Category Original Paper
- Pages 1-7
- DOI 10.1007/s10903-011-9537-7
- Authors
- Swee May Cripe, Department of Epidemiology, University of Washington, 1959 NE Pacific St., Box 357236, Seattle, WA 98195-7236, USA
- William O’Brien, Department of Epidemiology, University of Washington, 1959 NE Pacific St., Box 357236, Seattle, WA 98195-7236, USA
- Bizu Gelaye, Department of Epidemiology, University of Washington, 1959 NE Pacific St., Box 357236, Seattle, WA 98195-7236, USA
- Michelle A. Williams, Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave., Room 905A, Boston, MA 02115, USA
- Journal Journal of Immigrant and Minority Health
- Online ISSN 1557-1920
- Print ISSN 1557-1912