Neonatal Morbidity Among Macrosomic Infants in the James Bay Cree Populations of Northern Quebec

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TitleNeonatal Morbidity Among Macrosomic Infants in the James Bay Cree Populations of Northern Quebec
Publication TypeResearch
Year of Publication2001
AuthorsTrevors T
Abstract

Gestational diabetes mellitus (GDM) and infant macrosomia are important obstetric health concerns for Native populations in Canada. Previous research in non-Native populations has established that GDM and macrosomia are associated with increased risk of fetal morbidity. Specifically, GDM is a risk factor for infant macrosomia, hypoglycemia, polycythemia, hypocalcemia, and hyperbilirubinemia. Furthermore, macrosomia is an independent risk factor for shoulder dystocia, clavicular fracture, brachial plexus injury, birth asphyxia and operative delivery. The main objectives of this study were to determine prevalence rates of GDM and macrosomia related neonatal complications for the James Bay Cree population of northern Quebec, and to identify risk factors for specific birth trauma injuries and metabolic complications in the population.

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