Risk and adverse outcomes of gestational diabetes in migrants: A population cohort study

•Women migrant to western European countries are at higher risk of GDM.•Ethnicity increases the risk of adverse outcomes commonly associated to GDM.•Adding GDM and ethnicity in predictive models reversed the risk of adverse outcomes.•Targeting GDM is associated, in migrants, with a global reduction...

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Published in:Diabetes research and clinical practice 2020-05, Vol.163, p.108128-108128, Article 108128
Main Authors: Seghieri, Giuseppe, Di Cianni, Graziano, Seghieri, Marta, Lacaria, Emilia, Corsi, Edoardo, Lencioni, Cristina, Gualdani, Elisa, Voller, Fabio, Francesconi, Paolo
Format: Article
Language:English
Subjects:
Cohort study
Gestational diabetes
Maternal complications
Migrants
Neonatal complications
Singleton live births
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Summary:•Women migrant to western European countries are at higher risk of GDM.•Ethnicity increases the risk of adverse outcomes commonly associated to GDM.•Adding GDM and ethnicity in predictive models reversed the risk of adverse outcomes.•Targeting GDM is associated, in migrants, with a global reduction in adverse outcomes. To evaluate the risk of gestational diabetes (GDM) and of neonatal/maternal complications (macrosomia, large for gestational age (LGA), cesarean sections, preterm deliveries, neonatal distress and fetal malformations) among women coming from High Migration Pressure Countries (HMPC), compared to native (Italian) mothers. Risks of GDM and related neonatal/maternal complications were evaluated in a cohort of 581,073 Italian compared with 105,111 HMPC women of age 15–45 yr, resident in Tuscany, Italy along years 2012–2017, delivering 122,652 singleton live births (18,596 from HMPC mothers). HMPC women, compared to Italian ones, were at higher risk of GDM (OR: 1.586; 1.509–1.666;p 
ISSN:0168-8227
1872-8227
DOI:10.1016/j.diabres.2020.108128