ArticleJournal of women's health (2002)2015
Increasing prevalence of diabetes during pregnancy in South Carolina.
Article in Journal of women's health (2002), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Increasing Prevalence of Diagnosed Gestational Diabetes in South Carolina: 2015-2021.Journal of women's health (2002) · 2024Article
- Regional divergence and time trends in the prevalence of gestational diabetes mellitus: a national Danish cohort study.Acta diabetologica · 2023Article
- Association of types of diabetes and insulin dependency on birth outcomes.World journal of clinical cases · 2022Article
- Sepsis in Pregnancy: Recognition and Resuscitation.The western journal of emergency medicine · 2019Review
- Intergenerational Effects of Health Issues Among Women of Childbearing Age: a Review of the Recent Literature.Current nutrition reports · 2018Review
- Expression of apoptosis-regulatory genes in the hippocampus of rat neonates born to mothers with diabetes.Metabolic brain disease · 2017Article
- Lost opportunities to prevent early onset type 2 diabetes mellitus after a pregnancy complicated by gestational diabetes.BMJ open diabetes research & care · 2016Article
- Synaptogenesis in the Cerebellum of Offspring Born to Diabetic Mothers.Journal of pediatric neurosciencesReview
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe objective of our study was to examine the prevalence of diabetes during pregnancy at the population level in SC from January 1996 through December 2008.
methodsThe study included 387,720 non-Hispanic white (NHW), 232,278 non-Hispanic black (NHB), and 43,454 Hispanic live singleton births. Maternal inpatient hospital discharge codes from delivery (91.59%) and prenatal information (i.e., Medicaid [42.91%] and SC State Health Plan [SHP] [5.98%]) were linked to birth certificate data. Diabetes during pregnancy included gestational and preexisting, defined by prenatal and maternal inpatient International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic codes (i.e., 64801-64802, 64881-64882, or 25000-25092) or report on the birth certificate.
resultsDiabetes prevalence from any source increased from 5.02% (95% confidence interval [CI]: 4.82-5.22) in 1996 to 8.37% (95% CI: 8.15-8.60) in 2008. Diabetes prevalence, standardized for maternal age and race/ethnicity from 1996 through 2008, increased from 3.38% (95% CI: 3.29-3.47) to 5.81% (95% CI: 5.71-5.91) using birth certificate data, from 3.99% (95% CI: 3.89-4.10) to 6.69% (95% CI: 6.58-6.80) using hospital discharge data, and from 4.74% (95% CI: 4.52-4.96) to 8.82% (95% CI: 8.61-9.03) using Medicaid data. Comparing birth certificate to hospital discharge, Medicaid, and SHP data, Cohen's kappa in 2008 was 0.73 (95% CI: 0.72-0.75), 0.64 (95% CI: 0.62-0.66), and 0.59 (95% CI: 0.54-0.65), respectively.
conclusionsAn increasing prevalence of diabetes during pregnancy is reported, as well as substantial lack of agreement in reporting of diabetes prevalence across administrative databases. Prevalence of reported diabetes during pregnancy is impacted by screening, diagnostic, and reporting practices across different data sources, as well as by actual changes in prevalence over time.
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