title: Increased rates of adverse outcomes for gestational diabetes and pre-pregnancy diabetes in on-reserve First Nations Women in Ontario, Canada.
abstract: OBJECTIVE
  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.
authors.affiliation: Resident Research Career Development Program, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. sliu@uwo.ca
authors.forename: S L
authors.initials: SL
authors.lastname: Liu
authors.forename: B R
authors.initials: BR
authors.lastname: Shah
authors.forename: M
authors.initials: M
authors.lastname: Naqshbandi
authors.forename: V
authors.initials: V
authors.lastname: Tran
authors.forename: S B
authors.initials: SB
authors.lastname: Harris
mesh_terms: D000328:Adult; D016640:Diabetes, Gestational / Q000208:ethnology*; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000208:ethnology*; D009864:Ontario / Q000453:epidemiology; D016742:Preconception Care / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000208:ethnology*; D011254:Pregnancy in Diabetics / Q000208:ethnology*; D011295:Prenatal Care / Q000706:statistics & numerical data; D015995:Prevalence; D012189:Retrospective Studies