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Demographics, prevalence and outcomes of diabetes in pregnancy in NW Ontario.
Can J Rural Med. 2020 Jul-Sep; 25(3):99-104.CJ

Abstract

Introduction

Diabetes in pregnancy confers increased risk. This study examines the prevalence and birth outcomes of diabetes in pregnancy at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) and other small Ontario hospitals.

Methods

This was a retrospective study of maternal profile: age, parity, comorbidities, mode of delivery, neonatal birth weight, APGARS and complications. Data were compared to other Ontario hospitals offering an equivalent level of obstetrical services.

Results

Type 2 diabetes mellitus in pregnancy is far more prevalent in mothers who deliver at SLMHC (relative risk [RR]: 20.9, 95% confidence interval [CI]: 16.0-27.2); the rates of gestational diabetes (GDM) are double (RR: 2.0, 95% CI: 1.7-2.3). SLMHC mothers with diabetes were on average 5 years younger and of greater parity with increased substance use. Neonates largely had equivalent outcomes except for increased macrosomia, neonatal hypoglycaemia and hyperbilirubinaemia in GDM pregnancies.

Conclusion

Patients with diabetes in pregnancy at SLMHC differ substantially from mothers delivering at Ontario hospitals with a comparable level of service. Programming and resources must meet the service needs of these patients.

Authors+Show Affiliations

Division of Clinical Sciences, Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.Research Intern Anishnaabe Bimaadiziwin Research Program, Sioux Lookout NOSM Local Education Group, Ontario, Canada.Research Intern Anishnaabe Bimaadiziwin Research Program, Sioux Lookout NOSM Local Education Group, Ontario, Canada.Division of Clinical Sciences, Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.Research Coordinator, BORN Ontario, Ottawa, Ontario, Canada.Division of Clinical Sciences, Northern Ontario School of Medicine; Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, Ontario, Canada.Sioux Lookout Meno Ya Win Health Centre, Sioux Lookout, Ontario, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32611874

Citation

Hummelen, Ruben, et al. "Demographics, Prevalence and Outcomes of Diabetes in Pregnancy in NW Ontario." Canadian Journal of Rural Medicine : the Official Journal of the Society of Rural Physicians of Canada = Journal Canadien De La Medecine Rurale : Le Journal Officiel De La Societe De Medecine Rurale Du Canada, vol. 25, no. 3, 2020, pp. 99-104.
Hummelen R, Kattini R, Poirier J, et al. Demographics, prevalence and outcomes of diabetes in pregnancy in NW Ontario. Can J Rural Med. 2020;25(3):99-104.
Hummelen, R., Kattini, R., Poirier, J., Madden, S., Ockenden, H., Dooley, J., & Kelly, L. (2020). Demographics, prevalence and outcomes of diabetes in pregnancy in NW Ontario. Canadian Journal of Rural Medicine : the Official Journal of the Society of Rural Physicians of Canada = Journal Canadien De La Medecine Rurale : Le Journal Officiel De La Societe De Medecine Rurale Du Canada, 25(3), 99-104. https://doi.org/10.4103/CJRM.CJRM_71_19
Hummelen R, et al. Demographics, Prevalence and Outcomes of Diabetes in Pregnancy in NW Ontario. Can J Rural Med. 2020 Jul-Sep;25(3):99-104. PubMed PMID: 32611874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Demographics, prevalence and outcomes of diabetes in pregnancy in NW Ontario. AU - Hummelen,Ruben, AU - Kattini,Ribal, AU - Poirier,Jenna, AU - Madden,Sharen, AU - Ockenden,Holly, AU - Dooley,Joseph, AU - Kelly,Len, PY - 2020/7/3/entrez KW - Diabetes KW - First Nations KW - pregnancy SP - 99 EP - 104 JF - Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada JO - Can J Rural Med VL - 25 IS - 3 N2 - Introduction: Diabetes in pregnancy confers increased risk. This study examines the prevalence and birth outcomes of diabetes in pregnancy at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) and other small Ontario hospitals. Methods: This was a retrospective study of maternal profile: age, parity, comorbidities, mode of delivery, neonatal birth weight, APGARS and complications. Data were compared to other Ontario hospitals offering an equivalent level of obstetrical services. Results: Type 2 diabetes mellitus in pregnancy is far more prevalent in mothers who deliver at SLMHC (relative risk [RR]: 20.9, 95% confidence interval [CI]: 16.0-27.2); the rates of gestational diabetes (GDM) are double (RR: 2.0, 95% CI: 1.7-2.3). SLMHC mothers with diabetes were on average 5 years younger and of greater parity with increased substance use. Neonates largely had equivalent outcomes except for increased macrosomia, neonatal hypoglycaemia and hyperbilirubinaemia in GDM pregnancies. Conclusion: Patients with diabetes in pregnancy at SLMHC differ substantially from mothers delivering at Ontario hospitals with a comparable level of service. Programming and resources must meet the service needs of these patients. SN - 1488-237X UR - https://www.unboundmedicine.com/medline/citation/32611874/Demographics,_prevalence_and_outcomes_of_diabetes_in_pregnancy_in_NW_Ontario L2 - http://www.cjrm.ca/article.asp?issn=1203-7796;year=2020;volume=25;issue=3;spage=99;epage=104;aulast=Hummelen DB - PRIME DP - Unbound Medicine ER -
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