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MMWR Morb Mortal Wkly Rep. 1998 May 29;47(20):408-14.

Diabetes during pregnancy--United States, 1993-1995.


Diabetes during pregnancy, whether pregestational (type 1 or type 2) or gestational, increases the risk for adverse maternal and infant outcomes (e.g., congenital anomalies, cesarean delivery, macrosomia, and future metabolic abnormalities). Identification and careful management of diabetes during pregnancy can reduce poor maternal and infant outcomes. Diabetes prevalence and prenatal-care use varies among racial/ethnic groups and by maternal age and other characteristics. Higher than expected diabetes rates for women of childbearing age have been reported among many immigrant and other populations undergoing lifestyle changes (e.g., physical activity and diet). This report summarizes an analysis of U.S. birth certificates during 1993-1995 to describe maternal diabetes and associated prenatal care among racial/ethnic groups and updates a previous report.

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