Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors.
Clin Invest Med
; 31(6): E338-45, 2008 Dec 01.
Article
em En
| MEDLINE
| ID: mdl-19032903
ABSTRACT
PURPOSE:
To examine the impact of gestational diabetes mellitus (GDM) on maternal-fetal outcomes in Manitoba.METHODS:
The rates of macrosomia, stillbirth, cesarean section (C/S) and shoulder dystocia (S/D) in 324,605 births in Manitoba during 1985-2004, and their relationships with diabetes and demographical factors were analyzed.RESULTS:
The incidence of macrosomia, stillbirth, C/S and S/D were 15.3%, 0.57%, 16.0%, and 1.2%, respectively. The rates of macrosomia were elevated in mothers with GDM, type 2 DM (T2DM), rural living, First Nations (FN) status, or >or=35 years of age. Increased rates of stillbirth were associated with women with T2DM, FN status or >or=35 years, but not those with GDM. C/S and S/D were increased in women with GDM or T2DM. FN status in combination with GDM increased the risk of S/D.CONCLUSIONS:
GDM, T2DM, advanced maternal age, FN status or rural living affected pregnancy outcomes in Manitoba.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Resultado da Gravidez
/
Diabetes Gestacional
/
Meio Ambiente
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article