It was found that the birth certificate data significantly underreported the incidence of both preeclampsia (1.38 % vs. Socioeconomic factors of interest included maternal education levels, race, and type of health insurance (private or public). Additionally, the influence of maternal socioeconomic factors on the reported incidence of such adverse pregnancy outcomes was analyzed. Memorial birth records were matched to corresponding state birth certificate records and analyzed to determine differential rates of reporting of preeclampsia and diabetes. We obtained over 70,000 birth records from 2001 to 2006 from the perinatal research database of the Memorial Care system, a network of four hospitals in Los Angeles and Orange Counties, California. This study aimed to examine differences in reporting of preeclampsia and gestational diabetes between hospital records and birth certificate data, and to determine if such differences vary by maternal socioeconomic status indicators. The incidence of both gestational diabetes mellitus and preeclampsia is on the rise however, these pregnancy complications may not be systematically reported.
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