TITLE

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

AUTHOR(S)
Aljohani, Naji; Rempel, Brenda M.; Ludwig, Sora; Morris, Margaret; Cheang, Mary; Murray, Robert; Bruce, Sharon; Shen, Garry X.
PUB. DATE
December 2008
SOURCE
Clinical & Investigative Medicine;Dec2008, Vol. 31 Issue 6, pE338
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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 ≥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.
ACCESSION #
35765180

 

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