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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Canadian Society for Clinical Investigation
2008
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ftunitorontoojs:oai:jps.library.utoronto.ca:article/4919 2023-05-15T16:16:25+02:00 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 2008-12-01 application/pdf https://cimonline.ca/index.php/cim/article/view/4919 https://doi.org/10.25011/cim.v31i6.4919 eng eng Canadian Society for Clinical Investigation https://cimonline.ca/index.php/cim/article/view/4919/1789 https://cimonline.ca/index.php/cim/article/view/4919 doi:10.25011/cim.v31i6.4919 Clinical and Investigative Medicine; Vol 31, No 6 (2008); E338-E345 1488-2353 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2008 ftunitorontoojs https://doi.org/10.25011/cim.v31i6.4919 2020-12-01T10:19:09Z 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: Journal Publishing Services Clinical & Investigative Medicine 31 6 338 |
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University of Toronto: Journal Publishing Services |
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description |
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 |
Canadian Society for Clinical Investigation |
publishDate |
2008 |
url |
https://cimonline.ca/index.php/cim/article/view/4919 https://doi.org/10.25011/cim.v31i6.4919 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Clinical and Investigative Medicine; Vol 31, No 6 (2008); E338-E345 1488-2353 |
op_relation |
https://cimonline.ca/index.php/cim/article/view/4919/1789 https://cimonline.ca/index.php/cim/article/view/4919 doi:10.25011/cim.v31i6.4919 |
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_ |
1766002282607935488 |