Perinatal outcomes among different Asian-American subgroups

Luchin F. Wong, Aaron B. Caughey, Sanae Nakagawa, Anjali J. Kaimal, Susan H. Tran, Yvonne W. Cheng

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56 Scopus citations

Abstract

Objective: The objective of the study was to investigate the differences in perinatal outcomes between various Asian ethnic subgroups at a national level. Study Design: This is a retrospective cohort study of all non-Hispanic Chinese, Japanese, Filipino, Asian Indian, Korean, Vietnamese, Samoan, Guamanian, and Hawaiian women whose deliveries were recorded by US birth certificates within the year 2003. Perinatal outcomes were compared between groups and potential confounders controlled for with multivariable logistic regression. Results: We found significant differences (P < .001) in the incidence of all perinatal outcomes of interest among the different Asian subgroups. These differences persisted after adjusting for potential confounders. The incidence of diabetes in pregnancy varied from 2.9% (Korean) to 5.7% (Filipina). Conclusion: Our study demonstrates significant differences in preterm labor, primary cesarean delivery, pregnancy-associated hypertension, eclampsia, diabetes in pregnancy, low birthweight, macrosomia, and cephalopelvic disproportion among Asian subgroups at a national level, affirming the importance of examining these subgroups separately.

Original languageEnglish (US)
Pages (from-to)382.e1-382.e6
JournalAmerican journal of obstetrics and gynecology
Volume199
Issue number4
DOIs
StatePublished - Oct 2008

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Keywords

  • Asian
  • Pacific Islander
  • diabetes
  • perinatal
  • pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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