Associations Between Rurality, pre-pregnancy Health Status, and Macrosomia in American Indian/Alaska Native Populations

Hiratsuka, Vanessa Y.; Reid, Margaret M.; Chang, Jenny; Jiang, Luohua; Brega, Angela G.; Fyfe‐Johnson, Amber L.; Huyser, Kimberly R.; Johnson-Jennings, Michelle D.; Conway, Cheryl; Steiner, John F.; Rockell, Jennifer; Dillard, Denise A.; Moore, Kelly; Manson, Spero M.; O’Connell, Joan

doi:10.1007/s10995-022-03536-w

Cited by 1 publication

(2 citation statements)

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“…Twenty-five studies focused on the association between pre-pregnancy BMI or weight (referred to hereafter as ‘pre-pregnancy BMI’) and a range of maternal and child health outcomes ( Table 2 ) [ 10 , 41 , 42 , 46 , 47 , 49 , 50 , 51 , 53 , 55 , 56 , 60 , 62 , 64 , 66 , 67 , 72 , 73 , 75 , 85 , 86 , 91 , 93 , 94 , 95 ]. In general, these studies found associations between a higher pre-pregnancy BMI and adverse maternal and child health outcomes, including gestational diabetes [ 41 , 47 , 51 , 56 , 73 , 75 ], gestational hypertension [ 42 , 50 , 51 ], pre-eclampsia [ 93 ], caesarean section [ 51 , 93 ], high birthweight [ 51 , 55 , 67 , 72 , 85 ], and developing diabetes after pregnancy [ 53 ]. Reported relationships between pre-pregnancy BMI and gestational weight gain were not consistent across studies [ 49 , 55 ], and several studies found no association with a preterm birth [ 64 , …”

Section: Resultsmentioning

confidence: 99%

“…Six studies also focused on associations between pre-pregnancy diabetes and maternal and child health outcomes [ 46 , 47 , 60 , 64 , 67 , 72 ]. Associations were reported between pre-pregnancy diabetes and preterm birth [ 47 , 60 , 64 ], postpartum haemorrhage [ 46 ], serious adverse events [ 47 ], caesarean section [ 47 ], and large-for-gestational-age/high-birthweight infants [ 47 , 72 ].…”

Section: Resultsmentioning

confidence: 99%

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Preconception Health of Indigenous Peoples in Australia, Canada, New Zealand, and the United States: A Scoping Review

Walker,

Begum,

Boyle

et al. 2024

IJERPH

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Background: There is increasing recognition of the importance of the preconception period for addressing reproductive and intergenerational health inequities and supporting improved maternal and child health outcomes. This study aimed to understand the extent and type of evidence that exists in relation to preconception health for Indigenous peoples living in high-income countries with similar experiences of colonisation, namely, Australia, New Zealand, Canada, and the United States. Methods: This review was conducted as per the JBI methodology and PRISMA Extension for Scoping Reviews. A comprehensive search of PubMed, CINAHL [EBSCO], Ovid Embase, Scopus, and the Wiley Cochrane Library was conducted using keywords and index terms. We included research in English published between January 2010 and June 2023 on quantitative and qualitative primary studies. Data were extracted using a standardised tool, and the analysis included quantitative descriptions and qualitative content analysis. Results: We identified 360 potential studies and included 57 articles in the review. Most studies were from the United States (n = 36, 63.2%) and Australia (n = 13, 22.8%), and they commonly reported associations between preconception health risk factors and maternal or child health outcomes (n = 27, 48.2%) or described the development, implementation, or evaluation of preconception health interventions (n = 26, 46.4%). Common preconception health areas were pre-pregnancy body mass index or weight (n = 34), alcohol (n = 16), diet (n = 14), physical activity (n = 12), and diabetes (n = 11). Most studies focused exclusively on women (n = 46, 80.7%), and very few included men (n = 3, 5.3%). The study populations were mostly urban and rural (n = 25, 43.9%) or rural only (n = 14, 24.6%); however, the geographical remoteness was often unclear (n = 14, 24.6%). Conclusions: While there was some research relating to the preconception health of Indigenous peoples, this review identified considerable research gaps. There is a need for dedicated research into preconception health risk factors and reproductive health outcomes, attitudes and awareness of preconception health, and preconception health interventions for Indigenous peoples.

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