AI Article Synopsis
- The study focused on diabetes prevalence and birth outcomes among First Nations women in northwest Ontario from 2012 to 2017.
- Mothers with diabetes showed higher average age, greater number of previous births, and were more likely to experience complications like hypertension and higher rates of cesarean sections.
- The findings highlight significant health concerns, including increased risks for mothers and their babies, such as higher rates of macrosomia and substance use.
Article 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.
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| http://dx.doi.org/10.1016/j.jcjd.2020.01.001 | DOI Listing |
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