Maternal and neonatal outcomes following diabetes in pregnancy in Far North Queensland, Australia.

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: ObstetricsType 2 Diabetes MellitusCaesarean sectionDiabetes in pregnancyCohortNeonatal outcomesDiabetes mellitusRespiratory distressGestational diabetesMedicine

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.

参考文章(18)
Simon Graham, Lisa R Jackson Pulver, Yueping Alex Wang, Paul M Kelly, Paula J Laws, Narelle Grayson, Elizabeth A Sullivan, The urban-remote divide for Indigenous perinatal outcomes. The Medical Journal of Australia. ,vol. 186, pp. 509- 512 ,(2007) , 10.5694/J.1326-5377.2007.TB01024.X
Aidan McElduff, N Wah Cheung, H David McIntyre, Janet A Lagström, Barry N J Walters, Jeremy J N Oats, Peter Wein, Glynis P Ross, David Simmons, The Australasian Diabetes in Pregnancy Society consensus guidelines for the management of type 1 and type 2 diabetes in relation to pregnancy The Medical Journal of Australia. ,vol. 183, pp. 373- 377 ,(2005) , 10.5694/J.1326-5377.2005.TB07087.X
Linda Hoffman, Chris Nolan, J Dennis Wilson, Jeremy J N Oats, David Simmons, Gestational diabetes mellitus--management guidelines. The Australasian Diabetes in Pregnancy Society. The Medical Journal of Australia. ,vol. 169, pp. 93- 97 ,(1998) , 10.5694/J.1326-5377.1998.TB140192.X
Anthony F. Connell, Cameron R. Gent, Michael S. Massey, Fiona Stanley, Carol Bower, Birth defects in the infants of aboriginal and non-aboriginal mothers with diabetes in Western Australia. The Medical Journal of Australia. ,vol. 156, pp. 520- 524 ,(1992) , 10.5694/J.1326-5377.1992.TB121410.X
David SIMMONS, Munir A. KHAN, Glyn TEALE, Obstetric outcomes among rural Aboriginal Victorians. Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 45, pp. 68- 70 ,(2005) , 10.1111/J.1479-828X.2005.00331.X
D.K. Yue, L.M. Molyneaux, G.P. Ross, M.I. Constantino, A.G. Child, J.R. Turtle, Why Does Ethnicity Affect Prevalence of Gestational Diabetes? The Underwater Volcano Theory Diabetic Medicine. ,vol. 13, pp. 748- 752 ,(1996) , 10.1002/(SICI)1096-9136(199608)13:8<748::AID-DIA164>3.0.CO;2-I
Dympna Leonard, Robyn McDermott, Kerin O'Dea, Kevin G. Rowley, Poi Pensio, Edna Sambo, Aletia Twist, Raima Toolis, Simone Lowson, James D. Best, Measuring Prevalence: Obesity, diabetes and associated cardiovascular risk factors among Torres Strait Islander people Australian and New Zealand Journal of Public Health. ,vol. 26, pp. 144- 149 ,(2002) , 10.1111/J.1467-842X.2002.TB00907.X
Fidelma Dunne, Type 2 diabetes and pregnancy Seminars in Fetal & Neonatal Medicine. ,vol. 10, pp. 333- 339 ,(2005) , 10.1016/J.SINY.2005.04.007
Jeanna M. Piper, Lung maturation in diabetes in pregnancy: if and when to test. Seminars in Perinatology. ,vol. 26, pp. 206- 209 ,(2002) , 10.1053/SPER.2002.33969