Ethnicity and Immigration Status as Risk Factors for Gestational Diabetes Mellitus, Anemia and Pregnancy Outcomes Among Food Insecure Women Attending the Montreal Diet Dispensary Program
ConclusionsAs disparities in maternal and infant outcomes were present, nutritional intervention(s) need to be targeted toward prevention of adverse pregnancy outcomes, prioritization of higher-risk groups and adaptation of the program to a multiethnic low-income population.RésuméObjectifLa présente étude a pour objectif principal de caractériser le taux d'issues de grossesse indésirables dans un groupe multiculturel composé de femmes à faible revenu.MéthodesLes données extraites entre juin 2013 et décembre 2015 provenaient de la base de données du Dispensaire diététique de Montréal. Le risque a été évalué au moyen d'un modèle de régression logistique ajusté sur les covariables.RésultatsParmi les 1387 femmes enceintes, la prévalence du diabète sucré gestationnel (DSG) était de 17,2 % (intervalle de confiance [IC] à 95 %, de 15,1 % à 19,3 %), l'anémie maternelle, de 44,9 % (IC à 95 %, de 41,9 % à 47,9 %) et l'hypertension maternelle, de 3,8 % (IC à 95 %, de 2,8 % à 4,8 %). La prévalence d'enfants de faible poids pour l’âge gestationnel (FPAG) était de 5,5 % (IC à 95 %, de 4,3 % à 6,7 %), les naissances prématurées, de 4,7 % (IC à 95 %, de 3,6 % à 5,9 %), le faible poids &agrav...
ConclusionsAs disparities in maternal and infant outcomes were present, nutritional intervention(s) need to be targeted towards prevention of adverse pregnancy outcomes, prioritization of higher-risk groups and adaptation of the program to a multi-ethnic low-income population.
ConclusionsThe changes in the trend of specific outcomes were different with maternal age, which means that youth, aging, or both could affect the outcomes.This article is protected by copyright. All rights reserved.
Conclusion: This is the first study showing that the babies but not their mothers with ACE2 gene rs2074192 T allele had a high risk for SGA, which contributes to metabolic syndrome and cardiovascular diseases in later life.Kidney Blood Press Res 2018;43:1596 –1606
DiscussionThis trial, embedded in the national implementation of the eRegistry in Palestine, allows the assessment of process and health outcomes in a large-scale pragmatic setting. Findings will inform the use of interactive checklists and clinical decision support driven by point-of-care data entry into an eRegistry as a health systems-strengthening approach.Trial registrationISRCTN trial registration number,ISRCTN18008445. Registered on 6 April 2017.
Women who have survived childhood cancer are at risk for pregnancy complications such as hypertension, anemia, and diabetes mellitus.Journal of the National Cancer Institute
Conclusions: Women in the second pregnancy do not appear to predict an increased risk for developing GDM than women in the first pregnancy. High-risk groups of GDM included women in their late pregnancy, aged 36–45 years old, and with hypertension. The findings will contribute to an improved understanding of social and behavioral determinants of GDM in Chinese population and contribute to the development of health-prevention promotion interventions to address GDM.
Authors: Kontomanolis EN, Panagoutsos S, Pasadakis P, Koukouli Z, Liberis A Abstract This case report highlights on a child-bearer with chronic renal failure and diabetes mellitus type-II. Chronic renal failure (CRF) with diabetes mellitus (DM) type I in gestation is a rare case of a high-risk pregnancy. What is of significance though in this gestation, is that conception was achieved with the patient treated by a dialysis program. Furthermore, neither hypertension nor intrauterine growth restriction (IUGR) were detected and the patient was normotensive throughout gestation with no clinical signs of anemia. Strict ...
Conclusions: There are significant differences in obstetric and psychosocial risk profiles and maternal and neonatal outcomes between Australian-born and non-Australian born women. In particular there appears to be an association between an EPDS of ≥13 and developing GDM, which warrants further investigation.
Authors: Fleming N, O'Driscoll T, Becker G, Spitzer RF, CANPAGO Committee, Allen L, Millar D, Brain P, Dalziel N, Dubuc E, Hakim J, Murphy D, Spitzer R Abstract OBJECTIVE: To describe the needs and evidence-based practice specific to care of the pregnant adolescent in Canada, including special populations. OUTCOMES: Healthy pregnancies for adolescent women in Canada, with culturally sensitive and age-appropriate care to ensure the best possible outcomes for these young women and their infants and young families, and to reduce repeat pregnancy rates. EVIDENCE: Published literature was retrieved through searc...
ConclusionsComplications and costs of healthcare were greater with diabetes, highlighting the need to optimize diabetes management in pregnancy. This article is protected by copyright. All rights reserved.