安大略省西北部农村第一民族产科项目中妊娠合并妊娠期糖尿病和 2 型糖尿病的结局。
Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario.
机构信息
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.
出版信息
Can J Diabetes. 2020 Oct;44(7):624-627. doi: 10.1016/j.jcjd.2020.01.001. Epub 2020 Jan 12.
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.
目的
本研究旨在描述安大略省西北部一个以第一民族为主的产科人群中的糖尿病患病率和分娩结局。
方法
本研究为回顾性观察性研究，对 Sioux Lookout Meno Ya Win 健康中心于 2012 年 4 月 1 日至 2017 年 3 月 31 日期间的产妇和新生儿特征及分娩结局进行了分析。
结果
孕前已确诊的 2 型糖尿病患病率为 3.7%，妊娠期糖尿病患病率为 7.9%。与无糖尿病的产妇相比，糖尿病产妇的平均年龄大 5 岁，且产次更高。平均孕前体重更高，高血压、引产和剖宫产的发生率更高。新生儿的巨大儿、低血糖和高胆红素血症发生率更高。所有产妇群体均有较高的酒精、烟草和非法阿片类药物使用。
结论
我们发现该第一民族产科人群中糖尿病患病率较高，与不良的母婴结局相关。
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