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Clin Invest Med. 2008 Dec 1;31(6):E338-45.

Impact of diabetes on maternal-fetal outcomes in Manitoba: Relationship with ethnic and environmental factors.

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  • 1Department of Internal Medicine, Universityof Manitoba, and Manitoba Health and Healthy Living4, Winnipeg, MB, Canada.

Abstract

PURPOSE:

To examine the impact of gestational diabetes mellitus (GDM) on maternal-fetal outcomes in Manitoba.

METHODS:

The rates of macrosomia, stillbirth, cesarean section (C/S) and shoulder dystocia (S/D) in 324,605 births in Manitoba during 1985-2004, and their relationships with diabetes and demographical factors were analyzed.

RESULTS:

The incidence of macrosomia, stillbirth, C/S and S/D were 15.3%, 0.57%, 16.0%, and 1.2%, respectively. The rates of macrosomia were elevated in mothers with GDM, type 2 DM (T2DM), rural living, First Nations (FN) status, or >or=35 years of age. Increased rates of stillbirth were associated with women with T2DM, FN status or >or=35 years, but not those with GDM. C/S and S/D were increased in women with GDM or T2DM. FN status in combination with GDM increased the risk of S/D.

CONCLUSIONS:

GDM, T2DM, advanced maternal age, FN status or rural living affected pregnancy outcomes in Manitoba.

PMID:
19032903
[PubMed - indexed for MEDLINE]
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