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Maternal and Child Health Journal

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23-09-2022 | Care

Pre-pregnancy Diabetes, Pre-pregnancy Hypertension and Prenatal Care Timing among Women in the United States, 2018

Authors: Shanika Jerger Butts, Larissa R. Brunner Huber

Published in: Maternal and Child Health Journal | Issue 11/2022

Abstract

Introduction

Women with pre-pregnancy diabetes or pre-pregnancy hypertension have increased risks of complications during pregnancy. Women who obtain prenatal care in the first trimester receive necessary routine testing and disease management tools that aid in controlling such conditions. However, research on the association between pre-pregnancy hypertension and pre-pregnancy diabetes and prenatal care timing among US women is limited.

Methods

This study used data from the 2018 National Vital Statistic System (n = 3,618,853). Trained personnel collected information on prenatal care timing, maternal conditions, and demographics. Multivariate logistic regression models evaluated the association between pre-pregnancy hypertension, pre-pregnancy diabetes and prenatal care timing. A stratified analysis was conducted to determine if race/ethnicity modified the associations.

Results

After adjustment, women with pre-pregnancy hypertension or pre-pregnancy diabetes had statistically significant increased odds of receiving early prenatal care compared to women without these conditions (OR 1.23; 95% CI: 1.21-1.26 and OR 1.27; 95% CI: 1.24-1.31, respectively). Among non-Hispanic White, non-Hispanic Black, and Hispanic women, those with pre-pregnancy hypertension or pre-pregnancy diabetes had statistically significantly increased odds of receiving early prenatal care compared to women without those pre-existing conditions (P < .001).

Discussion

Further research is needed on the transition from preconception care to obstetric care for women with pre-existing diabetes or hypertension. However, these findings suggest that women who have conditions that could cause pregnancy complications are pursuing early prenatal care services to mitigate the development of adverse maternal and infant health conditions.

Azeez, O., Kulkarni, A., Kuklina, E. V., Kim, S. Y., & Cox, S. (2019). Hypertension and diabetes in non-pregnant women of reproductive age in the United States. Preventing Chronic Disease, 16, E146. https://doi.org/10.5888/pcd16.190105CrossRefPubMedPubMedCentral

Blakeney, E. L., Herting, J. R., Bekemeier, B., & Zierler, B. K. (2019). Social determinants of health and disparities in prenatal care utilization during the great recession period 2005–2010. BMC Pregnancy and Childbirth, 19(1), 390. https://doi.org/10.1186/s12884-019-2486-1CrossRefPubMedPubMedCentral

Breathett, K., Filley, J., Pandey, M., Rai, N., & Peterson, P. N. (2018). Trends in early prenatal care among women with pre-existing diabetes: Have income disparities changed? Journal of Women’s Health (2002), 27(1), 93–98. https://doi.org/10.1089/jwh.2016.6031CrossRef

Budtz-Jørgensen, E., Keiding, N., Grandjean, P., & Weihe, P. (2007). Confounder selection in environmental epidemiology: Assessment of health effects of prenatal mercury exposure. Annals of Epidemiology, 17(1), 27–35. https://doi.org/10.1016/j.annepidem.2006.05.007CrossRefPubMed

Butwick, A. J., Druzin, M. L., Shaw, G. M., & Guo, N. (2020). Evaluation of US state-level variation in hypertensive disorders of pregnancy. JAMA Network Open, 3(10), e2018741. https://doi.org/10.1001/jamanetworkopen.2020.18741CrossRefPubMedPubMedCentral

Cameron, N. A., Molsberry, R., Pierce, J. B., Perak, A. M., Grobman, W. A., Allen, N. B., Greenland, P., Lloyd-Jones, D. M., & Khan, S. S. (2020). Pre-pregnancy hypertension among women in rural and urban areas of the United States. Journal of the American College of Cardiology, 76(22), 2611–2619. https://doi.org/10.1016/j.jacc.2020.09.601CrossRefPubMedPubMedCentral

CDC. Hypertension Prevalence in the U.S. | Million Hearts®. Centers for Disease Control and Prevention. https://millionhearts.hhs.gov/data-reports/hypertension-prevalence.html. Accessed 22 Mar 2021

Chinn, J. J., Eisenberg, E., Artis Dickerson, S., King, R. B., Chakhtoura, N., Lim, I. A. L., Grantz, K. L., Lamar, C., & Bianchi, D. W. (2020). Maternal mortality in the United States: Research gaps, opportunities, and priorities. American Journal of Obstetrics and Gynecology, 223(4), 486-492.e6. https://doi.org/10.1016/j.ajog.2020.07.021CrossRefPubMedPubMedCentral

Chinn, J. J., Martin, I. K., & Redmond, N. (2021). Health equity among black women in the United States. Journal of Women’s Health (2002), 30(2), 212–219. https://doi.org/10.1089/jwh.2020.8868CrossRef

Coley, S. L., Zapata, J. Y., Schwei, R. J., Mihalovic, G. E., Matabele, M. N., Jacobs, E. A., & Anderson, C. K. (2018). More than a “Number”: perspectives of prenatal care quality from mothers of color and providers. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 28(2), 158–164. https://doi.org/10.1016/j.whi.2017.10.014CrossRef

Deputy, N. P., Kim, S. Y., Conrey, E. J., & Bullard, K. M. (2018). Prevalence and changes in preexisting diabetes and gestational diabetes among women who had a live birth—United States, 2012-2016. MMWR Morbidity and Mortality Weekly Report, 67(43), 1201–1207. https://doi.org/10.15585/mmwr.mm6743a2CrossRefPubMedPubMedCentral

Gad, M. M., Elgendy, I. Y., Mahmoud, A. N., Saad, A. M., Isogai, T., Sande Mathias, I., Misbah Rameez, R., Chahine, J., Jneid, H., & Kapadia, S. R. (2021). Disparities in cardiovascular disease outcomes among pregnant and post-partum women. Journal of the American Heart Association, 10(1), e017832. https://doi.org/10.1161/JAHA.120.017832CrossRefPubMed

Gadson, A., Akpovi, E., & Mehta, P. K. (2017). Exploring the social determinants of racial/ethnic disparities in prenatal care utilization and maternal outcome. Seminars in Perinatology, 41(5), 308–317. https://doi.org/10.1053/j.semperi.2017.04.008CrossRefPubMed

Groskaufmanis, L., Brunner Huber, L. R., & Vick, T. (2018). Group prenatal visits: Maternal and neonatal health outcomes. Journal of Midwifery & Women’s Health. https://doi.org/10.1111/jmwh.12764CrossRef

Kachoria, R., & Oza-Frank, R. (2014). Receipt of preconception care among women with prepregnancy and gestational diabetes. Diabetic Medicine: A Journal of the British Diabetic Association, 31(12), 1690–1695. https://doi.org/10.1111/dme.12546CrossRef

Kitsantas, P., Gaffney, K. F., & Cheema, J. (2012). Life stressors and barriers to timely prenatal care for women with high-risk pregnancies residing in rural and nonrural areas. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 22(5), e455-460. https://doi.org/10.1016/j.whi.2012.06.003CrossRef

Kitzmiller, J. L., Ferrara, A., Peng, T., Cissell, M. A., & Kim, C. (2018). Preexisting Diabetes and Pregnancy. In C. C. Cowie, S. S. Casagrande, A. Menke, M. A. Cissell, M. S. Eberhardt, J. B. Meigs, E. W. Gregg, W. C. Knowler, E. Barrett-Connor, D. J. Becker, F. L. Brancati, E. J. Boyko, W. H. Herman, B. V. Howard, K. M. V. Narayan, M. Rewers, & J. E. Fradkin (Eds.), Diabetes in America (3rd ed.). National Institute of Diabetes and Digestive and Kidney Diseases (US). http://www.ncbi.nlm.nih.gov/books/NBK567999/. Accessed 8 Sept 2021.

Kuklina, E. V. (2020). Hypertension in pregnancy in the US—one step closer to better ascertainment and management. JAMA Network Open, 3(10), e2019364. https://doi.org/10.1001/jamanetworkopen.2020.19364CrossRefPubMed

Lu, Y., Chen, R., Cai, J., Huang, Z., & Yuan, H. (2018). The management of hypertension in women planning for pregnancy. British Medical Bulletin, 128(1), 75–84. https://doi.org/10.1093/bmb/ldy035CrossRefPubMedPubMedCentral

Markus, A. R., & Pillai, D. (2021). Mapping the location of health centers in relation to “Maternity Care Deserts”: Associations with utilization of women’s health providers and services. Medical Care, 59(Suppl 5), S434–S440. https://doi.org/10.1097/MLR.0000000000001611CrossRefPubMedPubMedCentral

Martin, J. A., Hamilton, B. E., Osterman, M. J. K., & Driscoll, A. K. (2019). Births: Final data for 2018. National Vital Statistics Reports: FRom the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System, 68(13), 1–47.

Martin, J. A., Hamilton, B. E., Osterman, M. J. K., & Driscoll, A. K. (2021). Births: Final Data for 2019. National Vital Statistics Reports: FRom the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System, 70(2), 1–51.

Martin, J. A., Osterman, M. J. K., Kirmeyer, S. E., & Gregory, E. C. W. (2015). Measuring gestational age in vital statistics data: Transitioning to the obstetric estimate. National Vital Statistics Reports: FRom the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System, 64(5), 1–20.

Nawabi, F., Krebs, F., Vennedey, V., Shukri, A., Lorenz, L., & Stock, S. (2021). Health literacy in pregnant women: A systematic review. International Journal of Environmental Research and Public Health, 18(7), 3847. https://doi.org/10.3390/ijerph18073847CrossRefPubMedPubMedCentral

Osterman, M. J. K., & Martin, J. A. (2018). Timing and Adequacy of prenatal care in the United States, 2016. National Vital Statistics Reports: FRom the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System, 67(3), 1–14.

Park, J.-H., Vincent, D., & Hastings-Tolsma, M. (2007). Disparity in prenatal care among women of colour in the USA. Midwifery, 23(1), 28–37. https://doi.org/10.1016/j.midw.2005.08.002CrossRefPubMed

Power, M. L., Wilson, E. K., Hogan, S. O., Loft, J. D., Williams, J. L., Mersereau, P. W., & Schulkin, J. (2013). Patterns of preconception, prenatal and postnatal care for diabetic women by obstetrician-gynecologists. The Journal of Reproductive Medicine, 58(1–2), 7–14.PubMedPubMedCentral

Robbins, C., Boulet, S. L., Morgan, I., D’Angelo, D. V., Zapata, L. B., Morrow, B., Sharma, A., & Kroelinger, C. D. (2018). Disparities in preconception health indicators—behavioral risk factor surveillance system, 2013–2015, and pregnancy risk assessment monitoring system, 2013–2014. Morbidity and Mortality Weekly Report Surveillance Summaries (washington, D.c.: 2002), 67(1), 1–16. https://doi.org/10.15585/mmwr.ss6701a1CrossRef

Roman, L. A., Raffo, J. E., Dertz, K., Agee, B., Evans, D., Penninga, K., Pierce, T., Cunningham, B., & VanderMeulen, P. (2017). Understanding perspectives of African American medicaid-insured women on the process of perinatal care: An opportunity for systems improvement. Maternal and Child Health Journal, 21(Suppl 1), 81–92. https://doi.org/10.1007/s10995-017-2372-2CrossRefPubMedPubMedCentral

Rui, P., & Okeyode, T. (2015). National Ambulatory Medical Care Survey: 2015 State and National Summary Tables. Available from: http://www.cdc.gov/nchs/ahcd/ahcd_products.htm

Seely, E. W., & Ecker, J. (2014). Chronic hypertension in pregnancy. Circulation, 129(11), 1254–1261. https://doi.org/10.1161/CIRCULATIONAHA.113.003904CrossRefPubMed

Shah, J. S., Revere, F. L., & Toy, E. C. (2018). Improving rates of early entry prenatal care in an underserved population. Maternal and Child Health Journal, 22(12), 1738–1742. https://doi.org/10.1007/s10995-018-2569-zCrossRefPubMed

Sina, M., MacMillan, F., Dune, T., Balasuriya, N., Khouri, N., Nguyen, N., Jongvisal, V., Lay, X. H., & Simmons, D. (2018). Development of an integrated, district-wide approach to pre-pregnancy management for women with pre-existing diabetes in a multi-ethnic population. BMC Pregnancy and Childbirth, 18(1), 402. https://doi.org/10.1186/s12884-018-2028-2CrossRefPubMedPubMedCentral

Tolson, G. C., Barnes, J. M., Gay, G. A., & Kowaleski, J. L. (1991). The 1989 revision of the US standard certificates and reports. Vital and Health Statistics. Ser. 4 Documents and Committee Reports, 28, 1–34.

Weisband, Y. L., Gallo, M. F., Klebanoff, M., Shoben, A., & Norris, A. H. (2018). Who uses a midwife for prenatal care and for birth in the United States? A secondary analysis of listening to mothers III. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 28(1), 89–96. https://doi.org/10.1016/j.whi.2017.07.004CrossRef

Title: Pre-pregnancy Diabetes, Pre-pregnancy Hypertension and Prenatal Care Timing among Women in the United States, 2018
Authors: Shanika Jerger Butts
Larissa R. Brunner Huber
Publication date: 23-09-2022
Publisher: Springer US
Keywords: Care
Prenatal Care
Hypertension
Hypertension
Published in: Maternal and Child Health Journal / Issue 11/2022
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-022-03531-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pre-pregnancy Diabetes, Pre-pregnancy Hypertension and Prenatal Care Timing among Women in the United States, 2018

Abstract

Introduction

Methods

Results

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Discussion

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