作者: Bronwyn DAVIS , Dianne BOND , Paul HOWAT , Ashim K SINHA , Henrik FALHAMMAR
DOI: 10.1111/J.1479-828X.2009.01021.X
关键词: Obstetrics 、 Type 2 Diabetes Mellitus 、 Caesarean section 、 Diabetes in pregnancy 、 Cohort 、 Neonatal outcomes 、 Diabetes mellitus 、 Respiratory distress 、 Gestational diabetes 、 Medicine
摘要: Background: Diabetes in pregnancy (DIP) is increasing and associated with a number of adverse consequences for both the mother child. Aims: To compare local maternal neonatal outcomes state national data. Methods: Chart audit all DIP delivered during 2004 at regional teaching hospital benchmark, Queensland Indigenous data. Results: The frequency was 6.7%. compared to benchmark data demonstrated higher mothers (43.6% vs 6.8% 5.5%), caesarean sections (50.7% 26% 32.0%), hypoglycaemia (40.7% 19.5% 2.7%) respiratory distress (16.6% 4.5% 2.3%) infants, fewer normal birthweights (64.8% 82.6% 80.4%) full-term deliveries. More had type 2 diabetes mellitus (T2DM) (15.4% 8.7%) but used insulin (31.0% 46.6%); data, women gestational (79.5% 91.2%), however, use (22.8%). Furthermore, Aborigines pregnancies Torres Strait Islanders (3.0 5.0) less (21.9% 59.3%) (P = 0.008–0.024). In contrast, non-Indigenous versus showed pregnancies, T2DM (7.8% 23.7%), better glycaemic control, longer babies, more deliveries severe hypoglycaemia. Comparing poorer outcomes, only 11.8% or hypertension nationally. Conclusion: cohort probably reflecting disadvantaged. Few differences were found between groups.