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Epidemiology/Health Services/Psychosocial Research

Trends in Deliveries, Prenatal Care, and Obstetrical Complications in Women With Pregestational Diabetes

A population-based study in Ontario, Canada, 1996–2001

  1. Denice S. Feig, MD123,
  2. Asma Razzaq, MPH4,
  3. Kathy Sykora, MSC4,
  4. Jan E. Hux, MD134 and
  5. Geoff M. Anderson, MD34
  1. 1Department of Medicine, University of Toronto, Toronto, Ontario, Canada
  2. 2Division of Endocrinology, Mount Sinai Hospital, Toronto, Ontario, Canada
  3. 3Department of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada
  4. 4Institute for Clinical and Evaluative Sciences, Toronto, Ontario, Canada
  1. Address correspondence and reprint requests to Dr. Denice Feig, Mount Sinai Hospital, 600 University Ave., Lebovic Building, Suite 5027, Toronto, Ontario, Canada M5G 1X5. E-mail: d.feig{at}utoronto.ca
Diabetes Care 2006 Feb; 29(2): 232-235. https://doi.org/10.2337/diacare.29.02.06.dc05-1482
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Article Figures & Tables

Tables

  • Table 1—

    Characteristics of women who gave birth in Ontario hospitals, 1996–2001

    YearTotal deliveriesDeliveries in Women with PGDAge (years)
    Women with PGDWomen without PGD
    1996133,3161,122 (0.8)30.7 ± 5.528.9 ± 5.4
    1997131,6851,191 (0.9)30.7 ± 5.329.0 ± 5.5
    1998129,4701,296 (1.0)30.9 ± 5.329.1 ± 5.5
    1999128,6791,352 (1.1)31.0 ± 5.329.2 ± 5.5
    2000124,6051,455 (1.2)31.2 ± 5.529.3 ± 5.6
    2001128,7451,532 (1.2)31.2 ± 5.429.5 ± 5.5
    • Data are n (%) or means ± SD.

  • Table 2—

    Rates of obstetrical intervention and complications in women with and without PGD in Ontario, 1996 and 2001

    InterventionWomen with PGD (rate per 100 deliveries)Women without PGD (rate per 100 deliveries)Adjusted OR (95% CI)*P value for OR PGD vs. non-PGDP value for trend†
    Caesarean section
        19966.618.32.56 (2,258–2,893)<0.0001<0.0001
        200134.922.71.78 (1,597–1,979)<0.0001
    Induction
        199631.621.41.76 (1,551–1,999)<0.00010.611
        200133.123.41.69 (1,517–1,882)<0.0001
    Complication
    Obstructed labor
        19968.86.71.45 (1,176–1,786)0.0010.366
        20018.47.21.27 (1,059–1,527)0.010
    Shoulder dystocia
        19963.81.62.39 (1,756–3,255)<0.00010.344
        20014.22.12.00 (1,553–2,580)<0.0001
    Hypertension
        19969.02.05.15 (4,169–6,353)<0.00010.110
        20018.82.54.13 (3,445–4,961)<0.0001
    Preeclampsia/eclampsia
        19963.61.04.16 (3,010–5,741)<0.00010.754
        20014.11.14.44 (3,426–5,765)<0.0001
    • *

      ↵* ORs within each year were adjusted for age, age squared, and parity (9-year lookback).

    • †

      ↵† P value for trend is a result of modeling each outcome on PGD, age, age squared, parity, year, and year-by-PGD interaction. The P value is for the year-by-PGD interaction, to reflect the change in the effect of PGD between 1996 and 2001.

  • Table 3—

    Percentage of women with PGD receiving specialist care or undergoing eye exams during pregnancy, 1996–2001

    Specialist visitRetinal visit
    19965530.5
    19975434.0
    19985530.9
    19995629.4
    20005029.7
    20015029.3
    Time trend (P value)0.0010.061
    • Data are percent.

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Diabetes Care: 29 (2)

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Trends in Deliveries, Prenatal Care, and Obstetrical Complications in Women With Pregestational Diabetes
Denice S. Feig, Asma Razzaq, Kathy Sykora, Jan E. Hux, Geoff M. Anderson
Diabetes Care Feb 2006, 29 (2) 232-235; DOI: 10.2337/diacare.29.02.06.dc05-1482

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Trends in Deliveries, Prenatal Care, and Obstetrical Complications in Women With Pregestational Diabetes
Denice S. Feig, Asma Razzaq, Kathy Sykora, Jan E. Hux, Geoff M. Anderson
Diabetes Care Feb 2006, 29 (2) 232-235; DOI: 10.2337/diacare.29.02.06.dc05-1482
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