Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2025
Ehawawisit: Sociodemographic and Clinical Characteristics and Perinatal Outcomes of Métis Pregnancies in Alberta, Canada.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ospina Maria B, Sanni Omolara B, Serrano-Lomelin Jesus, James Ashton, Bradburn Kelsey, Bartel Reagan, Kumar Manoj, Chari Radha, Rosychuk Rhonda J, Crawford Susan, Osornio-Vargas Alvaro, Bakal Jeffrey A, Voaklander Britt, Black Kristin, Colquhoun Amy
Аннотация
OBJECTIVES: This study aimed to evaluate sociodemographic and clinical characteristics and perinatal outcomes of Métis pregnancies in Alberta, Canada.
METHODS: This was a retrospective population-based cohort study of all singleton pregnancies resulting in live births (≥220 weeks gestation) in Alberta (2006-2016). Métis births were identified through linkage of the Otipemisiwak Métis Government of the Métis Nation within Alberta Identification Registry with Alberta's population and perinatal registries, and compared with non-Métis pregnancies. Age-standardized prevalence and adjusted odds ratios (aOR) with 95% CIs were calculated.
RESULTS: The study included 7910 Métis and 471 522 non-Métis pregnancies. Métis pregnancies had higher rates of self-reported smoking (aOR 5.83; 95% CI 4.99-6.80), substance use during pregnancy (aOR 1.92; 95% CI 1.65-2.23), and pre-existing chronic hypertension (aOR 1.57; 95% CI 1.11-2.25). Métis deliveries had more obstetric hemorrhage complications (aOR 1.11; 95% CI 1.01-1.23), higher odds of spontaneous vaginal delivery (aOR 1.25; 95% CI 1.11-1.40), and lower odds of vacuum- or forceps-assisted delivery (aOR 0.69; 95% CI 0.63-0.75). Métis newborns had higher birth weights (3.42 kg vs. 3.35 kg), were more often large for gestational age (aOR 1.50; 95% CI 1.35-1.66), and less often small for gestational age (aOR 0.70; 95% CI 0.62-0.79). Rates of preterm births, neonatal intensive care unit admissions, and neonatal deaths were similar to those of non-Métis newborns.
CONCLUSIONS: Métis pregnancies had low overall perinatal complication rates but distinct differences in maternal and perinatal outcomes relative to non-Métis pregnancies. Métis-specific, culturally sensitive care may support improved perinatal outcomes for Métis families.
METHODS: This was a retrospective population-based cohort study of all singleton pregnancies resulting in live births (≥220 weeks gestation) in Alberta (2006-2016). Métis births were identified through linkage of the Otipemisiwak Métis Government of the Métis Nation within Alberta Identification Registry with Alberta's population and perinatal registries, and compared with non-Métis pregnancies. Age-standardized prevalence and adjusted odds ratios (aOR) with 95% CIs were calculated.
RESULTS: The study included 7910 Métis and 471 522 non-Métis pregnancies. Métis pregnancies had higher rates of self-reported smoking (aOR 5.83; 95% CI 4.99-6.80), substance use during pregnancy (aOR 1.92; 95% CI 1.65-2.23), and pre-existing chronic hypertension (aOR 1.57; 95% CI 1.11-2.25). Métis deliveries had more obstetric hemorrhage complications (aOR 1.11; 95% CI 1.01-1.23), higher odds of spontaneous vaginal delivery (aOR 1.25; 95% CI 1.11-1.40), and lower odds of vacuum- or forceps-assisted delivery (aOR 0.69; 95% CI 0.63-0.75). Métis newborns had higher birth weights (3.42 kg vs. 3.35 kg), were more often large for gestational age (aOR 1.50; 95% CI 1.35-1.66), and less often small for gestational age (aOR 0.70; 95% CI 0.62-0.79). Rates of preterm births, neonatal intensive care unit admissions, and neonatal deaths were similar to those of non-Métis newborns.
CONCLUSIONS: Métis pregnancies had low overall perinatal complication rates but distinct differences in maternal and perinatal outcomes relative to non-Métis pregnancies. Métis-specific, culturally sensitive care may support improved perinatal outcomes for Métis families.