Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors
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 dem...
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2008
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Online Access: | http://dx.doi.org/10.25011/cim.v31i6.4919 http://cimonline.ca/index.php/cim/article/viewFile/4919/1789 |
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crunivtoronpr:10.25011/cim.v31i6.4919 2024-09-15T18:06:42+00:00 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 2008 http://dx.doi.org/10.25011/cim.v31i6.4919 http://cimonline.ca/index.php/cim/article/viewFile/4919/1789 unknown University of Toronto Press Inc. (UTPress) Clinical & Investigative Medicine volume 31, issue 6, page 338 ISSN 1488-2353 journal-article 2008 crunivtoronpr https://doi.org/10.25011/cim.v31i6.4919 2024-08-08T04:25:50Z 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. Article in Journal/Newspaper First Nations University of Toronto Press (U Toronto Press) Clinical & Investigative Medicine 31 6 338 |
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University of Toronto Press (U Toronto Press) |
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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. |
format |
Article in Journal/Newspaper |
author |
Aljohani, Naji Rempel, Brenda M Ludwig, Sora Morris, Margaret Cheang, Mary Murray, Robert Bruce, Sharon Shen, Garry X |
spellingShingle |
Aljohani, Naji Rempel, Brenda M Ludwig, Sora Morris, Margaret Cheang, Mary Murray, Robert Bruce, Sharon Shen, Garry X Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
author_facet |
Aljohani, Naji Rempel, Brenda M Ludwig, Sora Morris, Margaret Cheang, Mary Murray, Robert Bruce, Sharon Shen, Garry X |
author_sort |
Aljohani, Naji |
title |
Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
title_short |
Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
title_full |
Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
title_fullStr |
Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
title_full_unstemmed |
Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors |
title_sort |
impact of diabetes on maternal-fetal outcomes in manitoba: relationship with ethnic and environmental factors |
publisher |
University of Toronto Press Inc. (UTPress) |
publishDate |
2008 |
url |
http://dx.doi.org/10.25011/cim.v31i6.4919 http://cimonline.ca/index.php/cim/article/viewFile/4919/1789 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Clinical & Investigative Medicine volume 31, issue 6, page 338 ISSN 1488-2353 |
op_doi |
https://doi.org/10.25011/cim.v31i6.4919 |
container_title |
Clinical & Investigative Medicine |
container_volume |
31 |
container_issue |
6 |
container_start_page |
338 |
_version_ |
1810444084693696512 |