Perinatal outcomes among Asian-white interracial couples

Michael J. Nystrom, Aaron B. Caughey, Deirdre J. Lyell, Maurice L. Druzin, Yasser Y. El-Sayed

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Objective: To investigate whether perinatal outcomes among interracial Asian-white couples are different than among Asian-Asian and white-white couples. Study Design: This was a retrospective study of Asian, white, and Asian-white couples delivered at the Lucile Packard Children's Hospital from 2000-2005. Asian-white couples were subdivided into white-mother/Asian-father or Asian-mother/white-father. Perinatal outcomes included gestational diabetes, hypertensive disorders of pregnancy, preterm delivery, birth weight >4000 g and <2500 g, and cesarean delivery. Results: In the study population of 868 Asian-white, 3226 Asian, and 5575 white couples there were significant outcome differences. Compared with white couples, Asian-white couples had an increased incidence of gestational diabetes (aOR 2.4 for white-mother/Asian-father and aOR 2.6 for Asian-mother/white-father), though not as high as Asian couples (aOR 4.7). Asian-white couples had larger babies (median 3360 g for Asian-mother/white-father and 3320 g for white-mother/Asian-father vs 3210 g for Asian, P < .001), but only Asian-mother/white-father couples had an increased rate of cesarean delivery (aOR 1.3-2.0). Conclusion: Significant differences in perinatal outcomes exist between Asian, white, and interracial Asian-white couples.

Original languageEnglish (US)
Pages (from-to)385.e1-385.e5
JournalAmerican journal of obstetrics and gynecology
Volume199
Issue number4
DOIs
StatePublished - Oct 2008
Externally publishedYes

Keywords

  • Asian
  • interracial Asian-white
  • perinatal outcomes
  • white

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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