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Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario.
Can J Diabetes. 2020 Jan 12 [Online ahead of print]CJ

Abstract

OBJECTIVES

In this work, we describe diabetes prevalence and birth outcomes in a primarily First Nations obstetrical population in northwest Ontario.

METHODS

This retrospective, observational study of maternal and neonatal characteristics and birth outcomes was performed at the Sioux Lookout Meno Ya Win Health Centre between April 1, 2012 and March 31, 2017.

RESULTS

The prevalence of pre-existing type 2 diabetes mellitus was 3.7% and gestational diabetes mellitus was 7.9%. Mothers with diabetes, compared to those without diabetes, were, on average, 5 years older and were of greater parity. Average prepregnancy weight was higher, with an increased incidence of hypertension, inductions and caesarean sections. Neonates had increased incidence of macrosomia, hypoglycemia and hyperbilirubinemia. All maternal cohorts had high rates of alcohol, tobacco and illicit opioid use.

CONCLUSIONS

We have identified a high prevalence of diabetes in this First Nations obstetrical population, with associated adverse maternal and neonatal outcomes.

Authors+Show Affiliations

Anishnaabe Bimaadiziwin Research Program, Sioux Lookout, Ontario, Canada; Carleton University, Ottawa, Ontario, Canada.Anishnaabe Bimaadiziwin Research Program, Sioux Lookout, Ontario, Canada; University of Waterloo, Waterloo, Ontario, Canada.Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, Ontario, Canada. Electronic address: lkelly@mcmaster.ca.Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.Better Outcomes Registry and Network Ontario, Ottawa, Ontario, Canada.Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, Ontario, Canada; Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32178973

Citation

Kattini, Ribal, et al. "Outcomes of Pregnancies Affected By Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario." Canadian Journal of Diabetes, 2020.
Kattini R, Poirier JN, Kelly LF, et al. Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario. Can J Diabetes. 2020.
Kattini, R., Poirier, J. N., Kelly, L. F., Madden, S. N., Ockenden, H., Dooley, J. P., & Hummelen, R. B. (2020). Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario. Canadian Journal of Diabetes. https://doi.org/10.1016/j.jcjd.2020.01.001
Kattini R, et al. Outcomes of Pregnancies Affected By Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario. Can J Diabetes. 2020 Jan 12; PubMed PMID: 32178973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario. AU - Kattini,Ribal, AU - Poirier,Jenna N, AU - Kelly,Len F, AU - Madden,Sharen N, AU - Ockenden,Holly, AU - Dooley,Joseph P, AU - Hummelen,Ruben B, Y1 - 2020/01/12/ PY - 2019/08/03/received PY - 2019/12/30/revised PY - 2020/01/03/accepted PY - 2020/3/18/entrez KW - First Nations KW - Premières Nations KW - diabetes KW - diabète KW - grossesse KW - pregnancy JF - Canadian journal of diabetes JO - Can J Diabetes N2 - OBJECTIVES: In this work, we describe diabetes prevalence and birth outcomes in a primarily First Nations obstetrical population in northwest Ontario. METHODS: This retrospective, observational study of maternal and neonatal characteristics and birth outcomes was performed at the Sioux Lookout Meno Ya Win Health Centre between April 1, 2012 and March 31, 2017. RESULTS: The prevalence of pre-existing type 2 diabetes mellitus was 3.7% and gestational diabetes mellitus was 7.9%. Mothers with diabetes, compared to those without diabetes, were, on average, 5 years older and were of greater parity. Average prepregnancy weight was higher, with an increased incidence of hypertension, inductions and caesarean sections. Neonates had increased incidence of macrosomia, hypoglycemia and hyperbilirubinemia. All maternal cohorts had high rates of alcohol, tobacco and illicit opioid use. CONCLUSIONS: We have identified a high prevalence of diabetes in this First Nations obstetrical population, with associated adverse maternal and neonatal outcomes. SN - 2352-3840 UR - https://www.unboundmedicine.com/medline/citation/32178973/Outcomes_of_Pregnancies_Affected_by_Gestational_Diabetes_and_Type_2_Diabetes_in_a_Rural_First_Nations_Obstetrical_Program_in_Northwest_Ontario_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1499-2671(20)30001-0 DB - PRIME DP - Unbound Medicine ER -
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