Associations Between Rurality, pre-pregnancy Health Status, and Macrosomia in American Indian/Alaska Native Populations.
Vanessa Y HiratsukaMargaret ReidJenny ChangLuohua JiangAngela G BregaAmber L Fyfe-JohnsonKimberly R HuyserMichelle Johnson-JenningsCheryl ConwayJohn F SteinerJennifer RockellDenise A DillardKelly MooreSpero M MansonJoan O'ConnellPublished in: Maternal and child health journal (2022)
Nearly half of the women in the sample were under age 25 years (48.6%), and most had Medicaid health insurance coverage (76.7%). Of those with a pre-pregnancy BMI measure, 66.2% were overweight or obese. Although few women had pre-pregnancy DM (4.0%), GDM was present in 12.8% of women. Most women had a normal term delivery (85.4%). Overweight, obesity, pre-pregnancy DM, and county-level rurality were all significantly associated with higher odds of infant macrosomia.