Dooley J P, Sugamori M E
University of Toronto Sioux Lookout Program, Sioux Lookout, Ontario, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:359-63.
To review the pregnancy outcomes of Aboriginal women with non-insulin-dependent diabetes mellitus (NIDDM) in the Sioux Lookout Zone of Northwestern Ontario, Canada.
Retrospective chart review of deliveries of all women with a confirmed diagnosis of NIDDM was carried out between 1989 and 1992.
During this period, 26 infants were born to 19 women with the diagnosis of NIDDM. Mean birth weight was 4,075 grams, with an average gestational age at delivery of 38 weeks. Three newborns required cesarean delivery, one required forceps, and one a vacuum extraction. There were four cases of shoulder dystocia. There were one stillbirth, one maternal death, and two cases of congenital heart disease. Ten newborns had neonatal jaundice and only two had neonatal hypoglycemia. These results suggest there is significant risk associated with NIDDM in pregnancy.
回顾加拿大安大略省西北部苏圣洛朗地区非胰岛素依赖型糖尿病（NIDDM）原住民妇女的妊娠结局。
对1989年至1992年间确诊为NIDDM的所有妇女的分娩情况进行回顾性病历审查。
在此期间，19名诊断为NIDDM的妇女共分娩26名婴儿。平均出生体重为4075克，平均分娩孕周为38周。3名新生儿需要剖宫产，1名需要产钳助产，1名需要真空吸引助产。有4例肩难产。有1例死产、1例产妇死亡和2例先天性心脏病。10名新生儿有新生儿黄疸，只有2名有新生儿低血糖。这些结果表明，妊娠合并NIDDM存在重大风险。
