Table 2. Prevalence of Pregnancy Outcomes, by Diabetes Status, in Linked Parity 1 and 2 Delivery Pairs, Massachusetts, 1998–2007a .
Statistic | Total | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
---|---|---|---|---|---|---|---|---|---|
Diabetes Status in Parity 1 and 2 Deliveries | |||||||||
No DM/ No DM |
No DM/ GDM |
No DM/ CDM |
GDM/ No DM |
GDM/ GDM |
GDM/ CDM |
CDM/ No DM or GDM |
CDM/ CDM |
||
LGA (≥90th percentile) | |||||||||
n | 131,438 | 122,800 | 3,202 | 434 | 1,892 | 1,911 | 204 | 426 | 569 |
Parity 1 | 8.9 | 8.5 | 15.1b | 13.8b | 9.8 | 13.8b , d | 17.7b , d | 12.2 | 23.6b |
Parity 2 | 12.8 | 12.3c | 16.3b | 14.5 | 18.2b , c | 22.4b , c , d | 28.9b , d | 18.8b | 38.7b , c |
Macrosomia (>4,000 g) | |||||||||
n | 133,376 | 124,542 | 3,292 | 454 | 1,923 | 1,935 | 207 | 433 | 590 |
Parity 1 | 9.9 | 9.7 | 14.9b | 14.1b | 10.5 | 12.8b | 14.0 | 12.0 | 19.0b |
Parity 2 | 12.6 | 12.3c | 14.1 | 12.8 | 17.2b , c | 19.4b , c | 24.6b , d | 17.1 | 30.2b , c |
Cesarean delivery | |||||||||
n | 133,435 | 124,596 | 3,294 | 454 | 1,922 | 1,938 | 207 | 434 | 590 |
Parity 1 | 25.4 | 24.7 | 31.3b | 38.3b | 35.7b | 39.2b | 42.0b | 34.1b | 56.8b |
Parity 2 | 28.0 | 27.0c | 38.3b | 44.7b | 37.9b | 45.2b , d | 55.6b , d | 40.1b | 65.4b |
Preterm birth (<37 wks) | |||||||||
n | 133,445 | 124,604 | 3,294 | 454 | 1,924 | 1,938 | 207 | 434 | 590 |
Parity 1 | 8.0 | 7.7 | 12.9b | 14.5b | 10.3b | 10.6b | 18.4b , d | 12.0b | 21.0b |
Parity 2 | 7.1 | 6.9c | 9.2b , c | 13.4b | 7.1c | 9.1b | 9.2c | 11.1b | 18.0b |
Abbreviations: CDM, chronic diabetes mellitus; DM, diabetes mellitus; GDM, gestational diabetes mellitus; LGA, large for gestational age.
Sample sizes (ie, n) are counts of sequential pairs of births. Standardization did not change estimates based on logistic models adjusted for the following covariates: mother’s age, race, insurance status, and time between deliveries; therefore, unstandardized estimates are presented.
P < .05 compared with No DM/No DM (adjusted for multiple comparisons).
P < .05 compared with parity 1 within the same column (adjusted for multiple comparisons).
P < .05 compared with GDM/No DM (adjusted for multiple comparisons).