Gestational Weight Gain and Perinatal Outcomes of Subgroups of Asian-American Women, Texas, 2009

Cheng, Hsiu Rong; Walker, Lorraine O.; Brown, Adama; Lee, Ju Young

doi:10.1016/j.whi.2015.01.003

Cited by 18 publications

(17 citation statements)

References 34 publications

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“…Prior studies about racial/ethnic differences in gestational weight gain have predominantly concluded that racial/ethnic minority women are at reduced risk for excessive gestational weight gain compared with Caucasian women, but are at increased risk for inadequate gestational weight gain. The findings of this study contradict these patterns, as the racial/ethnic minority women in this sample were found to be at increased risk for excessive gestational weight gain.…”

Section: Discussionsupporting

confidence: 90%

Sleep disruption and duration in late pregnancy is associated with excess gestational weight gain among overweight and obese women

Gay

Richoux

Beebe

et al. 2017

Birth

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Section: Discussionsupporting

confidence: 90%

Sleep disruption and duration in late pregnancy is associated with excess gestational weight gain among overweight and obese women

Gay

Richoux

Beebe

et al. 2017

Birth

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“…A sub-set of studies whose data were colleted prior to the inception of the evidence-based 2009 GWG guidelines reported no association between culture and discordant GWG (Hickey et al., 1990; Hickey et al., 1993; Hickey et al., 1995a; Hickey et al., 1995b; Hickey et al., 1996; Petitti, Croughan-Minihane & Hiatt, 1991; Allen et al., 1994; Walker & Kim, 2002; Savitz et al., 2011; Hernandez-Rivas et al., 2013; Sackoff & Yunzal-Butler, 2014; Widen et al., 2015); however, few recent studies have shown this to be true (Cheng et al., 2015; Harris et al., 2015). …”

Section: Resultsmentioning

confidence: 98%

“…White women were more likely than Hispanic women to have an unplanned caesarean section (Walker, Cheng & Brown, 2014); this relationship was opposite when comparing White and Asian women (Cheng et al., 2015). Bodnar et al.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies included Asian ethnicities and illustrated a greater prevalence of GDM in this ethnic group in comparison to White women, (Cheng et al., 2015) or to White, Black and Hispanic women (Kim et al., 2014). Similarly, minority groups were less likely to have pregnancy-induced hypertension, where Hispanic women experienced hypertension less than their White and Black counterparts, (Cavicchia et al., 2014) and Asian women less than women of Caucasian descent (Cheng et al., 2015). White women have been shown to be at a higher risk for delivering a macrosomic or LGA infant when compared to Black, Asian and Hispanic groups (Bodnar et al., 2001; Walker, Cheng & Brown, 2014; Cheng et al., 2015).…”

Section: Resultsmentioning

confidence: 99%

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Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Denize

Acharya

Prince

et al. 2018

PeerJ

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ObjectiveTo systematically review the literature and describe the discrepancies in achieving the 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines across cultures.MethodsTen databases were searched from inception to April 2018. Observational cohort studies were included that examined adult women; reported on a measure of culture; compared cultural groups, and reported on GWG. Articles were broken down into papers that used the current 2009 IOM GWG guidelines and those that used others. A meta-analysis was conducted for studies using the 2009 guidelines examining the prevalence of discordant GWG across cultural groups.ResultsThe review included 86 studies. Overall, 69% of women experienced discordant GWG irrespective of culture. White women experienced excessive GWG most often, and significantly more than Asian and Hispanic women; Black women had a higher prevalence of excessive GWG than Hispanic and Asian women; however, this difference was not significant.ConclusionsThe majority of women experience excessive GWG, with White women experiencing this most often. Culturally diverse GWG guidelines are needed to individualize antenatal care and promote optimal maternal-fetal health outcomes across cultural groups.

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“…demonstrated an unadjusted CD rate of 41% among Asian-Indian women, with a 39% increased odds of CD compared with Asian-Chinese women. 6 However, a single-center study of births to Asian-Indian women between 1998 and 2003 noted an unadjusted CD rate of 24%, but no increased risk of CD compared with other Asian-American groups after controlling for confounding factors. 7 It is unclear if Asian-Indian women are at increased risk for CD, as compared with other Asian women and women from other racial/ethnic groups, and the reason behind any potential increase is not apparent.…”

mentioning

confidence: 99%

Risk of Cesarean Delivery among Nulliparous Asian-Indian Women with Term Singleton Pregnancies

2018

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Objective Asian-Indian women are a growing population in the United States, but little data exist about their risk of cesarean delivery (CD). We characterize the odds of CD among Asian-Indian women and determine whether neonatal birth weight modifies this relationship. Study Design This is a retrospective cohort study using an administrative perinatal database from California. We identified 1,029,940 nulliparous women with live, singleton, nonanomalous deliveries between 37 and 42 completed weeks of gestation. We performed multivariable logistic regression analyses to determine if Asian-Indian women were more likely to deliver by CD, compared with white non-Hispanic women, adjusting for sociodemographic and clinical variables. We explored if birth weight was an effect modifier, testing the interaction term's significance using Wald's test, and performed multivariable logistic regressions stratified by birth weight category. Results Asian-Indian women comprised 2.0% of the cohort. Compared with white non-Hispanic women, Asian-Indian women had an adjusted odds of 1.41 (95% confidence interval: 1.36–1.46) for CD. However, we noted effect modification of birth weight on the odds of CD by race/ethnicity (p < 0.001). Among all birth weight categories exceeding 3,000 g, Asian-Indian women had higher odds of CD than white non-Hispanic women. Conclusion Asian-Indian women are at greater risk of CD than white non-Hispanic women when birthweight exceeds 3,000 g.

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Gestational Weight Gain and Perinatal Outcomes of Subgroups of Asian-American Women, Texas, 2009

Cited by 18 publications

References 34 publications

Sleep disruption and duration in late pregnancy is associated with excess gestational weight gain among overweight and obese women

Sleep disruption and duration in late pregnancy is associated with excess gestational weight gain among overweight and obese women

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Risk of Cesarean Delivery among Nulliparous Asian-Indian Women with Term Singleton Pregnancies

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