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    Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia

    Access Status
    Fulltext not available
    Authors
    von Katterfeld, B.
    Li, Jianghong
    McNamara, Beverley
    Langridge, A.
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    von Katterfeld, B. and Li, J. and McNamara, B. and Langridge, A.T. 2012. Maternal and neonatal outcomes associated with gestational diabetes in women from culturally and linguistically diverse backgrounds in Western Australia. Diabetic Medicine. 29 (3): pp. 372-377.
    Source Title
    Diabetic Medicine
    DOI
    10.1111/j.1464-5491.2011.03483.x
    ISSN
    14645491
    School
    Centre for Population Health
    URI
    http://hdl.handle.net/20.500.11937/12522
    Collection
    • Curtin Research Publications
    Abstract

    Aims: To compare maternal and neonatal outcomes for Australian-born women with gestational diabetes mellitus with those of culturally and linguistically diverse and non-culturally and linguistically diverse foreign-born women with gestational diabetes. Methods: A total of 205 616 singleton births in Western Australia between 1998 and 2006 were examined using multivariate logistic regression. Risks of ten maternal and neonatal outcomes associated with gestational diabetes were compared for gestational diabetes pregnancies to foreign-born women from both culturally and linguistically diverse and non-culturally and linguistically diverse backgrounds vs. Australian-born women. The same outcomes were also compared for pregnancies without gestational diabetes. Results: Foreign-born culturally and linguistically diverse women were more likely to undergo emergency Caesarean section, but less likely to have pre-eclampsia, an elective Caesarean section or induced labour than Australian-born women. Their infants were less likely to be large for gestational age, require resuscitation or be transferred to specialist care. These differences were also evident among pregnancies without gestational diabetes to culturally and linguistically diverse women, but did not exist between foreign-born non-culturally and linguistically diverse women and Australian-born women with gestational diabetes. Conclusions: While gestational diabetes places women and infants at increased risk of adverse perinatal outcomes, these outcomes differed for foreign-born women from culturally and linguistically diverse backgrounds when compared with Australian- born women. Further investigation is required to elucidate why being foreign-born and culturally and linguistically diverse reduces the risk of several of these outcomes.

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