Department of Medical and Surgical Sciences, Padova University, Padova, Italy.
Gynecol Endocrinol. 2011 Jun;27(6):379-83. doi: 10.3109/09513590.2010.493249. Epub 2010 Jun 9.
Recent studies show adverse outcomes of pregnancy among immigrant women from countries with high diabetes rates. We compared maternal and fetal outcomes in immigrant and Italian women with gestational diabetes mellitus (GDM) followed up at our center. Maternal characteristics considered were age, pre-pregnancy body mass index (BMI), HbA1c, frequency of insulin treatment, timing and mode of delivery, and hypertensive disorders; and, for fetal outcome, infants large or small for gestational age, and fetal complications. Pre-pregnancy BMI and HbA1c were higher in immigrant GDM women than in Italians, and more of them were on insulin. No differences in maternal outcome emerged between the two groups. More large for gestational age (LGA) babies were born to immigrant women than to Italians, but no other differences emerged. Apart from newborn LGA, maternal and fetal outcomes were comparable in our immigrant and Italian GDM women. Immigrant GDM women have favourable outcomes if given access to health care and language and cultural barriers are removed.
最近的研究表明，来自糖尿病高发国家的移民妇女妊娠结局不良。我们比较了在我们中心接受治疗的患有妊娠期糖尿病（GDM）的移民妇女和意大利妇女的母婴结局。考虑的产妇特征包括年龄、孕前体重指数（BMI）、HbA1c、胰岛素治疗的频率、分娩时机和方式以及高血压疾病；对于胎儿结局，包括胎儿大小与妊娠周数不符以及胎儿并发症。移民 GDM 妇女的孕前 BMI 和 HbA1c 高于意大利人，且更多人接受胰岛素治疗。两组产妇结局无差异。移民妇女所生的巨大儿（LGA）多于意大利人，但没有其他差异。除了新生儿 LGA 之外，我们的移民和意大利 GDM 妇女的母婴结局相当。如果移民 GDM 妇女能够获得医疗保健，并消除语言和文化障碍，那么她们的结局是有利的。
