{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T06:33:01Z","timestamp":1782369181858,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Pacific Islander (PI) women in Australia have an increased risk of gestational diabetes (GDM); however, their perinatal outcomes are poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to determine the maternal characteristics and perinatal outcomes of PI women with and without GDM compared to Australian\/European (AE)\u2013born women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of perinatal outcomes of singleton deliveries &gt;20\u2009weeks\u2019 gestation between 1 January 2011 and 31 December 2020 was conducted at a tertiary provider (Melbourne, Australia). Antenatal details and birth outcomes were extracted from the Birth Outcome Systems database. <jats:italic>t<\/jats:italic>\u2010Tests and \u03c7<jats:sup>2<\/jats:sup>, univariate and multivariable logistic regression analyses assessed the relationship between ethnicity and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 52,795 consecutive births, 24,860 AE women (13.3% with GDM) and 1207 PI\u2010born women (20.1% with GDM) were compared. PI women had significantly greater pre\u2010pregnancy body mass index (BMI) and significantly lower rates of smoking and nulliparity. PI women with GDM had higher rates of pre\u2010eclampsia (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), large\u2010for\u2010gestational age (LGA) neonates (<jats:italic>P<\/jats:italic>\u2009=\u20090.037) and neonatal hypoglycaemia (<jats:italic>P<\/jats:italic>\u2009=\u20090.017) but lower rates of small\u2010for\u2010gestational age neonates (<jats:italic>P<\/jats:italic>\u2009=\u20090.034). Neonatal intensive care unit (NICU)\/special care nursery requirements did not increase. After having adjusted for covariates, PI women's risk of LGA neonates (adjusted odds ratio (aOR): 1.06, 95% confidence interval (CI): 0.86\u20131.31) was attenuated; however, risk of pre\u2010eclampsia (aOR: 1.49, 95% CI: 1.01\u20132.21) and neonatal hypoglycaemia (aOR: 1.40, 95% CI: 1.01\u20131.96) still increased. They were less likely to require a primary caesarean section (aOR: 0.86, 95% CI: 0.73\u20130.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PI women have higher BMI and GDM rates, contributing to an increased likelihood of adverse perinatal outcomes. BMI is a modifiable risk factor that could be addressed prenatally.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13826","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T11:19:15Z","timestamp":1714043955000},"page":"494-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Antenatal health and perinatal outcomes of Pacific Islander women in Australia with and without gestational diabetes: A ten\u2010year retrospective cohort study"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1266-0220","authenticated-orcid":false,"given":"Annabel S.","family":"Jones","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"},{"name":"Department of Medicine University of Melbourne  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Deitch","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"},{"name":"Department of Medicine University of Melbourne  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Shane","family":"Hamblin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glyn","family":"Teale","sequence":"additional","affiliation":[{"name":"Women's and Children's Division Western Health  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dev","family":"Kevat","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"},{"name":"Department of Medicine University of Melbourne  St Albans Victoria Australia"},{"name":"Women's and Children's Division Western Health  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u2010Lynn","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Western Health  St Albans Victoria Australia"},{"name":"Department of Medicine University of Melbourne  St Albans Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,25]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Bureau of Statistics.Australia's population by country of birth. 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