Trends and Racial/Ethnic Disparities in Gestational Diabetes Among Pregnant Women in New York City, 1990-2001
Lorna E. Thorpe 1*,Diana Berger 1,Jennifer A. Ellis 1,Vani Bettegowda 1,Gina Brown 2,Thomas Matte 1,Mary Bassett 1,Thomas R. Frieden 1
1 NYC Dept of Health and Mental Hygiene 2 gbrown@health.nyc.gov
* To whom correspondence should be addressed. E-mail: lthorpe{at}health.nyc.gov.
Abstract
We analyzed gestational diabetes mellitus trends in New YorkCity between 1990 and 2001 by using information obtained frombirth certificates. Gestational diabetes diagnoses among womenwho delivered babies increased 46%, from 2.6% (95% confidenceinterval [CI]=2.5, 2.7)to 3.8% (95% CI=3.7, 3.9) of births.Prevalence was highest among South and Central Asian women (11%).Given risks for adverse fetal outcomes and maternal chronicdiabetes, prompt screening is critical. Metabolic control shouldbe maintained during pregnancy and assessed postpartum for womenwith gestational diabetes. (Am J Public Health. 2005;95:xxxx-xxxx.doi:10.2105/AJPH.2005.066100)
Key Words:
Diabetes, Epidemiology, Maternal and Infant Health, Race/Ethnicity, Surveillance
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