Increased rates of adverse outcomes for gestational diabetes and pre-pregnancy diabetes in on-reserve First Nations Women in Ontario, Canada

Diabet Med. 2012 Aug;29(8):e180-3. doi: 10.1111/j.1464-5491.2012.03691.x.


Aims: To compare the prevalence of diabetes in pregnancy, pregnancy care and adverse pregnancy outcomes in on-reserve First Nations women vs. non-First Nations women in Ontario, Canada.

Methods: A retrospective population-based cohort study was performed. All 487368 live singleton hospital deliveries between 1 April 2002 and 31 March 2010 were identified. Outcomes were defined by linking mothers and infants to provincial healthcare administrative databases.

Results: Diabetes in pregnancy was more prevalent in First Nations women (10.3 vs. 6.0%). They received less pregnancy care and had higher rates of adverse outcomes than non-First Nations women with diabetes.

Conclusions: First Nations women are at a higher risk of diabetes in pregnancy and adverse outcomes. This highlights the need for increased care for pregnant First Nations women.

MeSH terms

  • Adult
  • Diabetes, Gestational / ethnology*
  • Female
  • Humans
  • Indians, North American / ethnology*
  • Ontario / epidemiology
  • Preconception Care / statistics & numerical data
  • Pregnancy
  • Pregnancy Outcome / ethnology*
  • Pregnancy in Diabetics / ethnology*
  • Prenatal Care / statistics & numerical data
  • Prevalence
  • Retrospective Studies