Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors

Aljohani, Naji; Rempel, Brenda M.; Ludwig, Sora; Morris, Margaret; Cheang, Mary; Murray, Robert; Bruce, Sharon; Shen, Garry X.
December 2008
Clinical & Investigative Medicine;Dec2008, Vol. 31 Issue 6, pE338
Academic Journal
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 ≥35 years of age. Increased rates of stillbirth were associated with women with T2DM, FN status 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.


Related Articles

  • Zavanelli maneuver.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p2513 

    A definition of the term "Zavanelli maneuver" which refers to the manual return of the head of a partially born fetus with intractable shoulder dystocia to the vagina prior to a cesarean section is presented.

  • Association between prepregnancy body mass index, gestational weight gain, and perinatal outcomes. Gümüş, İlknur İnegöl; Karakurt, Feridun; Kargili, Ayşe; Turhan, Nilgün Öztürk; Uyar, Mehtap Erkmen // Turkish Journal of Medical Sciences;Jun2010, Vol. 40 Issue 3, p365 

    Aim:We aimed to investigate the effects of prepregnancy body mass index (BMI) and excess gestational weight gain on maternal-fetal outcomes. Materials and methods: Obstetrics records of 537 singleton pregnants delivered at our institution were reviewed. According to BMI, the patients were...

  • PLoS ONE: C-sections are cost-effective way to improve maternal outcomes in developing countries.  // Biomedical Market Newsletter;4/28/2012, Vol. 21, p1 

    The article offers information on C sections which are considered as cost effective way for improvement of maternal outcomes related with difficult deliveries.

  • Dicephalic Monster in a Graded Murrah Buffalo. Rao, Ch. Mallikharjuna; Krishna, N. V. V. Han; Prasad, B. Chandra // Intas Polivet;Jan-Jun2011, Vol. 12 Issue 1, p30 

    A case of dystocia in a primiparous graded murrah buffalo due to dicephalic monster with muscular contracture and ankyloses of fore limbs is reported and discussed. The calf was delivered by cesarean section.

  • Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study. Kjærgaard, Hanne; Olsen, Jørn; Ottesen, Bent; Nyberg, Per; Dykes, Anna-Karin // BMC Pregnancy & Childbirth;2008, Vol. 8, Special section p1 

    Background: In nulliparous women dystocia is the most common obstetric problem and its etiology is largely unknown. The frequency of augmentation and cesarean delivery related to dystocia is high although it is not clear if a slow progress justifies the interventions. Studies of risk factors for...

  • Claim of failure to do Zavanelli maneuver during shoulder dystocla.  // Contemporary OB/GYN;Sep2004, Vol. 49 Issue 9, p32 

    The article discusses on a medical malpractice case filed by a patient from Washington, who delivered an infant suffering from nerve injury to her cervical spine as a result of a shoulder dystocia upon delivery. The clinician, who assisted the patient's physician, was sued by the mother alleging...

  • Duty to warn of risks moves to a prudent patient approach. Griffith, Richard // British Journal of Nursing;4/9/2015, Vol. 24 Issue 7, p408 

    The United Kingdom Supreme Court has ruled that nurses, and other health professionals, can no longer paternalistically decide what information about the risks inherent in treatment should be disclosed to patients when obtaining consent (Montgomery v Lanarkshire Health Board [2015]). Patients...

  • Montgomery (Appellant) v Lanarkshire Health Board (Respondent) (Scotland).  // British Dental Journal;4/24/2015, Vol. 218 Issue 8, p473 

    'It would therefore be a mistake to view patients as...incapable of understanding medical matters...'.

  • Screening, Diagnosis, and Management of Gestational Diabetes Mellitus. GARRISON, ANDREW // American Family Physician;4/1/2015, Vol. 91 Issue 7, p460 

    The article discusses the screening, diagnosis and management of gestational diabetes mellitus (GDM), which affects approximately six percent of U.S. pregnancies. Topics include treatment of GDM resulting in a decrease in the incidence of preeclampsia, shoulder dystocia and macrosomia as well...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics