{"id":28220,"date":"2015-03-01T00:00:00","date_gmt":"2018-12-03T22:03:56","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/psychosocial-deprivation-in-women-with-gestational-diabetes\/"},"modified":"2018-12-03T23:03:56","modified_gmt":"2018-12-03T22:03:56","slug":"psychosocial-deprivation-in-women-with-gestational-diabetes","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/psychosocial-deprivation-in-women-with-gestational-diabetes\/","title":{"rendered":"Psychosocial deprivation in women with gestational diabetes mellitus is associated with poor fetomaternal prognoses: an observational study."},"content":{"rendered":"<p style=\"text-align: justify\"><strong>OBJECTIVE<\/strong><br \/>\nTo evaluate the prognoses associated with psychosocial deprivation in women with gestational diabetes mellitus (GDM).<\/p>\n<p style=\"text-align: justify\"><strong>DESIGN<\/strong><br \/>\nObservational study considering the 1498 multiethnic women with GDM who gave birth between January 2009 and February 2012.<\/p>\n<p style=\"text-align: justify\"><strong>SETTING<\/strong><br \/>\nFour largest maternity units in the northeastern suburban area of Paris.<\/p>\n<p style=\"text-align: justify\"><strong>PARTICIPANTS<\/strong><br \/>\nThe 994 women who completed the Evaluation of Precarity and Inequalities in Health Examination Centers (EPICES) questionnaire.<\/p>\n<p style=\"text-align: justify\"><strong>MAIN OUTCOME MEASURE<\/strong><br \/>\nMain complications of GDM (large infant for gestational age (LGA), shoulder dystocia, caesarean section, pre-eclampsia).<\/p>\n<p style=\"text-align: justify\"><strong>RESULTS<\/strong><br \/>\nPsychosocial deprivation (EPICES score &acirc;?&yen;30.17) affected 577 women (56%) and was positively associated with overweight\/obesity, parity and non-European origin, and negatively associated with family history of diabetes, fruit and vegetable consumption and working status. The psychosocially deprived women were diagnosed with GDM earlier, received insulin treatment during pregnancy more often and were more likely to have LGA infants (15.1% vs 10.6%, OR=1.5 (95% CI 1.02 to 2.2), p&lt;0.05) and shoulder dystocia (3.1% vs 1.2%, OR=2.7 (0.97 to 7.2), p&lt;0.05). In addition to psychosocial deprivation, LGA was associated with greater parity, obesity, history of GDM, ethnicity, excessive gestational weight gain and insulin therapy. A multivariate analysis using these covariates revealed that the EPICES score was independently associated with LGA infants (per 10 units, OR=1.12 (1.03 to 1.20), p&lt;0.01).<\/p>\n<p style=\"text-align: justify\"><strong>CONCLUSIONS<\/strong><br \/>\nIn our area, psychosocial deprivation is common in women with GDM and is associated with earlier GDM diagnoses and greater insulin treatment, an increased likelihood of shoulder dystocia and, independently of obesity, gestational weight gain and other confounders with LGA infants.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-28220","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Endocrinology-Diabetology-Nutrition, AP-HP, Jean Verdier Hospital, Paris 13 University, Sorbonne Paris Cit\u00e9, CRNH-IdF, CINFO, Bondy, France Sorbonne Paris Cit\u00e9, UMR U1153 Inserm\/U1125 Inra\/Cnam\/Universit\u00e9 Paris 13, Bobigny, France.\r\nemmanuel.cosson@jvr.aphp.fr","annee":"2015","mois":"3","numero":"5:3","page":"e007120","auteurs":[{"ID":28215,"post_author":"0","post_date":"2018-12-03 23:03:53","post_date_gmt":"2018-12-03 22:03:53","post_content":"","post_title":"Emmanuel Cosson","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"emmanuel-cosson","to_ping":"","pinged":"","post_modified":"2018-12-03 23:03:53","post_modified_gmt":"2018-12-03 22:03:53","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/emmanuel-cosson\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":28216,"post_author":"0","post_date":"2018-12-03 23:03:54","post_date_gmt":"2018-12-03 22:03:54","post_content":"","post_title":"H\u00e9l\u00e8ne Bihan","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"helene-bihan","to_ping":"","pinged":"","post_modified":"2018-12-03 23:03:54","post_modified_gmt":"2018-12-03 22:03:54","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/helene-bihan\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":8443,"post_author":"0","post_date":"2018-12-03 18:00:16","post_date_gmt":"2018-12-03 17:00:16","post_content":"","post_title":"G\u00e9rard Reach","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"gerard-reach","to_ping":"","pinged":"","post_modified":"2018-12-03 18:00:16","post_modified_gmt":"2018-12-03 17:00:16","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/gerard-reach\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":28217,"post_author":"0","post_date":"2018-12-03 23:03:54","post_date_gmt":"2018-12-03 22:03:54","post_content":"","post_title":"Laurence Vittaz","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"laurence-vittaz","to_ping":"","pinged":"","post_modified":"2018-12-03 23:03:54","post_modified_gmt":"2018-12-03 22:03:54","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/laurence-vittaz\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":28218,"post_author":"0","post_date":"2018-12-03 23:03:55","post_date_gmt":"2018-12-03 22:03:55","post_content":"","post_title":"Lionel Carbillon","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"lionel-carbillon","to_ping":"","pinged":"","post_modified":"2018-12-03 23:03:55","post_modified_gmt":"2018-12-03 22:03:55","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/lionel-carbillon\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":28219,"post_author":"0","post_date":"2018-12-03 23:03:56","post_date_gmt":"2018-12-03 22:03:56","post_content":"","post_title":"Paul Valensi","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"paul-valensi","to_ping":"","pinged":"","post_modified":"2018-12-03 23:03:56","post_modified_gmt":"2018-12-03 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