ATLANTIC DIP: pregnancy outcome for women with pregestational diabetes along the Irish Atlantic seaboard.
Authors
Dunne, Fidelma PAvalos, Gloria
Durkan, Meave
Mitchell, Yvonne
Gallacher, Therese
Keenan, Marita
Hogan, Marie
Carmody, Louise A
Gaffney, Geraldine
Affiliation
Department of Medicine, College of Medicine Nursing and Health Sciences, National University of Ireland, Galway, Ireland. fidelma.dunne@nuigalway.ieIssue Date
2009-07MeSH
AdultCongenital Abnormalities
Diabetes Complications
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Female
Hemoglobin A, Glycosylated
Humans
Hypertension
Infant, Newborn
Ireland
Pre-Eclampsia
Prediabetic State
Pregnancy
Pregnancy Outcome
Pregnancy in Diabetics
Prenatal Care
Stillbirth
Metadata
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ATLANTIC DIP: pregnancy outcome for women with pregestational diabetes along the Irish Atlantic seaboard. 2009, 32 (7):1205-6 Diabetes CareJournal
Diabetes careDOI
10.2337/dc09-1118PubMed ID
19564472Abstract
Prospective evaluation of pregnancy outcomes in pregestational diabetes along the Atlantic seaboard 2006-2007.The Atlantic Diabetes in Pregnancy group, representing five antenatal centers in a wide geographical location, was established in 2005. All women with diabetes for >6 months before the index pregnancy were included. Results were collected electronically via the DIAMOND Diabetes Information System. Pregnancy outcome was compared with background rates.
There were 104 singleton pregnancies. The stillbirth rate (25/1,000) was 5 times, perinatal mortality rate (25/1,000) 3.5 times, and congenital malformation rate (24/1,000) 2 times that of the background population. A total of 28% of women received prepregnancy care, 43% received prepregnancy folic acid, and 51% achieved an A1C
Women are not well prepared for pregnancy, and outcomes are suboptimal. A regional prepregnancy care program and centralized glucose management are urgently needed.
Item Type
ArticleLanguage
enISSN
1935-5548ae974a485f413a2113503eed53cd6c53
10.2337/dc09-1118
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