Abstract
Objective: To evaluate the role of education level in predicting the risk of macrosomia among women with gestational diabetes mellitus. Study design: Women with gestational diabetes, who were referred to the California Diabetes and Pregnancy Sweet Success Program between June 2001 and December 2002, were included in the study. Multiple logistic regression was used estimate the risk of macrosomia, defined as a birth weight >4000 g. Results: Compared to college-educated women, high school- and middle school-educated women were 21% (relative risk (RR), 1.21; 95% confidence intervals (CI), 1.01-1.44) and 35% (RR, 1.35; 95% CI, 1.09-1.70) more likely to deliver a macrosomic infant, respectively. Conclusion: Gestational diabetics with a lower level of educational attainment appear to have an increased risk of macrosomia. Future studies are necessary to determine whether this finding reflects a variation in adherence to recommended treatments by education/literacy level, or if it is a surrogate marker for intrinsic, biological differences or differences in lifestyle.
Original language | English (US) |
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Pages (from-to) | 328-332 |
Number of pages | 5 |
Journal | Journal of Perinatology |
Volume | 26 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2006 |
Externally published | Yes |
Keywords
- Education level
- Gestational diabetes mellitus
- Macrosomia
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology