The Impact of Maternal Diabetes on Fetal and Infant Outcomes: A Secondary Analysis of Peridata.net® from 2013 to 2017

Abstract

ABSTRACT THE IMPACT OF MATERNAL DIABETES ON FETAL AND INFANT OUTCOMES: A SECONDARY ANALYSIS OF PERIDATA.NET® FROM 2013 TO 2017 Christina Dzioba, MS, ARNP, WHNP-BC, C-EFM Background: Diabetes is a leading cause of morbidity and mortality for most of the developed world and is known to contribute to adverse maternal, fetal, and infant outcomes. The purpose of this study was to examine the relationship of maternal diabetes to fetal and infant outcomes for infants born in a small heterogeneous urban community with significant disparities in infant mortality using data in the PeriData.Net® database. Methods: Women with diabetes were case matched to women without diabetes by pre-pregnancy BMI and race to mitigate obesity effects on outcomes in this secondary analysis of PeriData.Net®. Results (p Conclusions: Diabetes increased cesarean sections and hypertension prevalence for all women. Maternal diabetes increased LGA, SGA, prematurity, hypoglycemia, hyperbilirubinemia and respiratory distress which also increases risk for infant morbidity and mortality. A higher prevalence of preexisting diabetes and prematurity contributes to an increased risk of mortality for African-American infants.