Abstract:
OBJECTIVE:To evaluate the rate and causes of preterm (before 37 weeks gestation) and very preterm (before 32 weeks gestation) delivery among a population of Inuit living in Canada. STUDY DESIGN:Three-year retrospective cross-sectional review of charts for patients delivering in the Baffin Region of Canada. RESULTS:There were 938 births over the study period; 95% to Inuit women. Inuit women had a preterm delivery rate of 18.2% and a very preterm delivery rate of 2.4%, more than twice the Canadian national average. Sociodemographic risk factors for preterm delivery including substance use, young age, single marital status, and poor nutrition, occurred more frequently among Inuit women compared to non-Inuit women, but were not independently associated with prematurity. Known medical and obstetrical risk factors were associated with preterm delivery among Inuit women; history of prior preterm delivery, multiple pregnancy, placenta previa, poor weight gain and vaginal bleeding after 20 weeks gestation. Hospitalization rates and infant mortality were higher among preterm infants. The most common indication for hospitalization was respiratory infection (51.1%) followed by other infection (15.8%). CONCLUSION:Inuit women had preterm and very preterm delivery rates more than twice the Canadian national average. Preterm delivery was associated with several medical risk factors and resulted in significant increases in infant hospitalization and mortality.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Muggah E,Way D,Muirhead M,Baskerville Bdoi
10.3402/ijch.v63i0.17910subject
Has Abstractpub_date
2004-01-01 00:00:00pages
242-7eissn
1239-9736issn
2242-3982journal_volume
63 Suppl 2pub_type
杂志文章abstract:BACKGROUND:Primary care in remote communities in northern Canada is delivered primarily by nurses who receive clinical support from physicians in regional centres and the patient transportation system. To improve continuity, quality and access to care in remote northern communities, it is important to understand the pe...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.32159
更新日期:2016-09-14 00:00:00
abstract:OBJECTIVE:To assess changes in plasma 25-hydroxy vitamin D (25(OH)D) concentrations after ingestion of
journal_title:International journal of circumpolar health
pub_type: 临床试验,杂志文章
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abstract:BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
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更新日期:2016-01-14 00:00:00
abstract:OBJECTIVES:To evaluate the clinical management of type 2 diabetes in the Eeyou Istchee communities of northern Quebec. STUDY DESIGN:Retrospective quality assurance audit. METHODS:Patients with diabetes were identified using the Cree Diabetes Information System. Charts of eligible patients were audited for healthcare ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18418
更新日期:2012-04-25 00:00:00
abstract::The relationship between cell-mediated immunity and alcohol intake was studied in an Antarctic wintering group. Cell-mediated immune responses have previously been shown to be significantly lowered on the Antarctic Continent. The cause for this is yet to be elucidated. The cutaneous CMI Multitest was used to assess ce...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i3.17454
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:The Alaska Native Medical Center diabetes program analysed Diabetes Care and Outcomes Audit data from 1994-2004 to evaluate the impact of the Special Diabetes Program for Indians (SDPI) funding on process and intermediate outcomes. STUDY DESIGN:We conducted a retrospective analysis of data from standardized...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
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更新日期:2008-06-01 00:00:00
abstract::Infertility is an increasing problem for both individuals and societies. The number of couples seeking treatment for infertility is increasing each year, and public interest seems to be rising along with the new treatment methods and the improving results. Male infertility is also of great interest now that several st...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
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更新日期:1998-07-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21233
更新日期:2013-08-05 00:00:00
abstract::Reliance on self-reported health status information as a measure of population health can be challenging due to errors associated with participant recall. We sought to determine agreement between self-reported and registry-recorded site-specific cancer diagnoses in a cohort of Alaska Native people. We linked cancer hi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
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journal_title:International journal of circumpolar health
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更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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更新日期:2009-06-01 00:00:00
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更新日期:2011-04-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i2.18319
更新日期:2009-04-01 00:00:00
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更新日期:2019-12-01 00:00:00
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更新日期:2007-02-01 00:00:00
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更新日期:2014-06-18 00:00:00
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更新日期:2012-03-30 00:00:00
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journal_title:International journal of circumpolar health
pub_type: 杂志文章
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