24. Predictors of Hypertensive Disorder and Preterm Labor in Pediatric Pregnancies with and without Type 1 Diabetes

To evaluate the risk of preterm labor and hypertensive disorders in pediatric pregnancies with without type 1 diabetes to changes frequency delivery admissions complicated by these conditions from 2006 2019. We used national Kids’ Inpatient Database identify (≤ 20 years old) 2006, 2009, 2012, 2016, ICD-9 ICD-10 codes (e.g. pre-eclampsia), pre-term labor. descriptive statistics logistic regression models unadjusted adjusted for complications associated a diagnosis diabetes. identified total 1,839,812 L&D admissions. These occurred primarily young adults (78%), White race (35.6%), lowest income quartile (41%) urban private hospitals (73%) located southern US (44.5%). Hypertensive Disorders 10% 5.8% admissions, respectively. There were 3,341 those diabetes, prevalence higher T1D (21.5% vs. 5.7% 35.4% vs.10%, respectively). In models, having was OR 4.5 (p<0.01) disorder. Other patient factors increased include 11-15yo, insurance, being Black Native American 2 quartiles. terms labor, (OR 4.4, p<0.01). aged public or no Asian quartile. When we evaluated trends over time, saw that overall decreased 53% 2019 compared 2006. The significantly 8.2% 15.2% HTN both 1.98, P<0.01 2.44, relatively stable 5.9% reduced 0.69, p<0.01) .54, p<0.001). A is significant factor disorders. While has rates have all . Additional studies are needed better understand drivers findings target appropriate interventions.