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Diabetes in pregnancy and risk of near-miss, maternal mortality and foetal outcomes in the USA: a retrospective cross-sectional analysis.

Background The prevalence of diabetes in pregnant women has increased in the USA over recent decades. The primary aim of this study was to assess the association between diabetes in pregnancy and maternal near-miss incident, maternal mortality and selected adverse foetal outcomes. Methods We conduct...

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Published in:Journal of Public Health Vol. 44; no. 3; pp. 549 - 558
Main Authors: Tavera, Gabriella, Dongarwar, Deepa, Salemi, Jason L, Akindela, Oyinkansola, Osazuwa, Itohan, Akpan, Eyerusalem B, Okolie, Ugonna, Johnson, Marilynn, Spooner, Kiara K, Akpan, Ubong I, Yusuf, Korede K, Chukwudum, Chidinma, Salihu, Hamisu M, Olaleye, Omonike A
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Sep2022
Online Access:View this record in EBSCOhost
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      dt: Sep2022
      vid: 44
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      pub: Oxford University Press / USA
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        10.1093/pubmed/fdab117
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      tig:
        atl: Diabetes in pregnancy and risk of near-miss, maternal mortality and foetal outcomes in the USA: a retrospective cross-sectional analysis.
      aug:
        au:
          Tavera, Gabriella
          Dongarwar, Deepa
          Salemi, Jason L
          Akindela, Oyinkansola
          Osazuwa, Itohan
          Akpan, Eyerusalem B
          Okolie, Ugonna
          Johnson, Marilynn
          Spooner, Kiara K
          Akpan, Ubong I
          Yusuf, Korede K
          Chukwudum, Chidinma
          Salihu, Hamisu M
          Olaleye, Omonike A
        affil: College of Pharmacy and Health Sciences, Texas Southern University , Houston, TX 77004, USA
      sug:
        subj:
          Pregnancy in Diabetes Complications
          Heart Arrest Risk Factors
          Maternal Mortality Risk Factors
          Hospital Mortality Risk Factors
          Pregnancy Outcomes Evaluation
          Fetal Growth Retardation Risk Factors
          Childbirth, Premature Risk Factors
          Perinatal Death Risk Factors
          Risk Assessment
          Pregnancy in Diabetes Trends
          Hospitalization
          Diabetes Mellitus, Type 1 Trends
          Diabetes Mellitus, Type 2 Trends
          Human
          Retrospective Design
          Cross Sectional Studies
          Pregnancy
          Female
          Diabetes Mellitus, Gestational Complications
          Adolescence
          Young Adult
          Adult
          Middle Age
          Expectant Mothers
          Odds Ratio
          Confidence Intervals
          Comparative Studies
          Diabetes Mellitus, Gestational Trends
          Inpatients
          United States
          Two-Stage Cluster
          Heart Arrest Diagnosis
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background The prevalence of diabetes in pregnant women has increased in the USA over recent decades. The primary aim of this study was to assess the association between diabetes in pregnancy and maternal near-miss incident, maternal mortality and selected adverse foetal outcomes. Methods We conducted a retrospective, cross-sectional analysis among pregnancy-related hospitalizations in USA between 2002 and 2014. We examined the association between DM and GDM as exposures and maternal in-hospital mortality, maternal cardiac arrest, early onset of delivery, poor foetal growth and stillbirth as the outcome variables. Results Among the 57.3 million pregnant women in the study population, the prevalence of GDM and DM was 5.4 and 1.3%, respectively. We found that pregnant women with DM were three times more likely to experience cardiac arrest (OR = 3.21; 95% CI = 2.57–4.01) and in-hospital maternal death (OR = 3.05; 95% CI = 2.45–3.79), as compared to those without DM. Among pregnant women with GDM and DM, the risk for early onset of delivery was higher, compared to women without GDM or DM. Conclusion A diagnosis of diabetes prior to pregnancy contributes significantly to the risk of maternal cardiac arrest, maternal mortality and adverse foetal outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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