摘要
AIM: To perform a systematic review of reported neonatal and pregnancy outcomes of Indigenous Australians with diabetes in pregnancy(DIP).METHODS: Electronic searches of Pub Med and Web of Science were carried out. Articles were selected if they contained original data on DIP outcomes in Indigenous Australians. There were no specific exclusion criteria.RESULTS: A total of eight articles, predominantly from Queensland and Western Australia were identified once inclusion criteria were applied. Birth data from midwifery registries or paper charts encompassing years 1985-2008 were used. A total of 465591 pregnant women with and without DIP were included in the eight studies, with 1363 being Indigenous women with DIP. Indigenous Australians experienced increased rates of many known adverse outcomes of DIP including: macrosomia, caesarean section, congenital deformities, low birth weight, hypoglycaemia, and neonatal trauma. There were regional differences among Indigenous Australians, particularly regional/remote vs metropolitan populations where the regional/remote data showed worse outcomes. Two of the articles did not note a difference between Aboriginals and Caucasians in the rates of measured adverse outcome. Studies varied significantly in size, measured outcomes, and subsequent analysis.CONCLUSION: The health disparities between Indigenous Australians and non-Indigenous Australians are further evidenced by poorer outcomes in DIP. This has broader implications for Indigenous health in general.
AIM To perform a systematic review of reportedneonatal and pregnancy outcomes of IndigenousAustralians with diabetes in pregnancy （DIP）.METHODS： Electronic searches of PubMed and Web ofScience were carried out. Articles were selected if theycontained original data on DIP outcomes in IndigenousAustralians. There were no specific exclusion criteria.RESULTS： A total of eight articles, predominantly fromQueensland and Western Australia were identifiedonce inclusion criteria were applied. Birth data frommidwifery registries or paper charts encompassingyears 1985-2008 were used. A total of 465591 pregnantwomen with and without DIP were included in the eightstudies, with 1363 being Indigenous women with DIP.Indigenous Australians experienced increased ratesof many known adverse outcomes of DIP including：macrosomia, caesarean section, congenital deformities,low birth weight, hypoglycaemia, and neonatal trauma.There were regional differences among IndigenousAustralians, particularly regional/remote vs metropolitanpopulations where the regional/remote data showedworse outcomes. Two of the articles did not note adifference between Aboriginals and Caucasians inthe rates of measured adverse outcome. Studiesvaried significantly in size, measured outcomes, andsubsequent analysis.CONCLUSION： The health disparities between IndigenousAustralians and non-Indigenous Australiansare further evidenced by poorer outcomes in DIP.This has broader implications for Indigenous health ingeneral.
基金
Supported by Magn Bergvalls Foundation,Karolinska Institutet and Stockholm County Council
