Trends and racial/ethnic disparities in gestational diabetes among pregnant women in New York City, 1990-2001.
We analyzed gestational diabetes mellitus trends in New York City between 1990 and 2001 by using information obtained from birth certificates. Gestational diabetes diagnoses among women who delivered babies increased 46%, from 2.6% (95% confidence interval [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 chronic diabetes, prompt screening is critical. Metabolic control should be maintained during pregnancy and assessed postpartum for women with gestational diabetes.
Thorpe
Lorna E
LE
NYC Department of Health and Mental Hygiene, 125 Worth St, Room 315 (CN6), New York, NY 10013, USA. lthorpe@health.nyc.gov
Berger
Diana
D
Ellis
Jennifer A
JA
Bettegowda
Vani R
VR
Brown
Gina
G
Matte
Thomas
T
Bassett
Mary
M
Frieden
Thomas R
TR
D000328:Adult; D001719:Birth Certificates; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000208:ethnology*; D005006:Ethnicity / Q000145:classification / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008403:Mass Screening; D009519:New York City / Q000453:epidemiology; D011247:Pregnancy; D011295:Prenatal Care; D015995:Prevalence; D012959:Socioeconomic Factors