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Analysis of routinely collected data: Determining associations of maternal risk factors and infant outcomes with gestational diabetes, in Pakistani, Indian, Bangladeshi and white British pregnant women in Luton, England
Open accessAbstract
Objective This study aims to compare the prevalence of gestational diabetes in Indian, Pakistani, Bangladeshi and British women in Luton, England and further examine associations in maternal risk factors (age BMI, smoking status and birth outcome), with gestational diabetes, with maternal ethnicity. Design A retrospective analysis using routinely collected secondary data from Ciconia Maternity information System (CMiS), between 2008 and 2013. The ethnicity of women recorded as Indian, Pakistani, Bangladeshi and white British, residing in [removed] were included in the study. The outcomes for n=15,211 cases were analysed using adjusted standardised residuals, Pearson Chi-square, frequencies and percentages of women with gestational diabetes. Results The prevalence of gestational diabetes was significantly higher in the sample of Bangladeshi (2.1%) and Pakistani (1.4%) compared to Indian (1%) and white British (0.4%) women. Of the women diagnosed with gestational diabetes, 48.7% of the women diagnosed with gestational diabetes in this cohort were Pakistani, compared with 28.3% of Bangladeshi, 6.6% of Indian and 16.4% of white British (χ2= 84.57 df=6, p<0.001). A number of significant Pearson Chi-square associations were found between Pakistani women diagnosed with gestational diabetes and BMI over 30kg/m 2 (χ 2= 43.1 df=4, p<0.001) and an early gestational age at delivery (24-37 weeks) (χ2= 4.084 df=1, p=0.043). Conclusions There are important differences in the prevalence rates of gestational diabetes which varied by maternal ethnicity. Of the women who had GDM, 48.7% were Pakistani, compared with 28.3% Bangladeshi, 16.4% white British and 6.6% Indian. It is essential policy makers and service providers target GDM screening and associated interventions and future research seeks to understand the reasons behind these differences.
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In Luton, UK, 2008-2013, GDM prevalence among White British, Indian, Bangladeshi, and Pakistani pregnant women was highest in Bangladeshi (2.1%) and lowest in White British (0.4%), using NICE 2015 criteria retrospectively.
“Garcia et al. analyzed data from Luton between 2008 and 2013 to assess the GDM prevalence among White British, Indian, Bangladeshi, and Pakistani pregnant women, which was the highest in Bangladeshi (2.1%) and the lowest in White British (0.4%). They used the NICE 2015 criteria retrospectively [154].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [154]
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Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
Dłuski, D. F., Ruszała, M., Rudziński, G., Pożarowska, K., Brzuszkiewicz, K., & Leszczyńska-Gorzelak, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315804 · Cited by 41
Metadata
- Authors
- Garcia, R., Ali, N., Guppy, A., Griffiths, M., & Randhawa, G.
- Affiliations
- National Institute for Health and Care Research (GB)
- University of Bedfordshire (GB)
- Luton and Dunstable University Hospital NHS Foundation Trust (GB)
- The Open University (GB)
- Venue
- Midwifery
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 94
- Pages
- 102899
- ISSN
- 0266-6138 (ISSN-L)
- OpenAlex
- W3111018479
- Cited by
- 4
- References
- 3
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Midwifery (publishedVersion)
- PubMed (publishedVersion)
- Open Research Online (The Open University) (acceptedVersion)
- University of Bedfordshire Repository (University of Bedfordshire) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- gestational diabetes mellitus, maternal ethnicity, maternal risk factors, body mass index, smoking during pregnancy, birth outcomes, Pakistani women, Bangladeshi women, Indian women, White British women, ethnic disparities, gestational diabetes screening, Luton
- MeSH terms
- England, Ethnicity, Female, Humans, Infant, Pakistan, Pregnancy, Retrospective Studies, Risk Factors, Diabetes, Gestational, Pregnant Women, Pregnant People
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