• Login
    View Item 
    •   Home
    • Hospital Research
    • Connacht
    • Galway University Hospitals
    • View Item
    •   Home
    • Hospital Research
    • Connacht
    • Galway University Hospitals
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    5001
    UlsterS
    5001
    Connacht
    1673
    Munster
    55
    Leinster
    456

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideNational Health Library & Knowledge ServiceGuide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Atlantic Dip: a regional approach to the delivery of care results in improved pregnancy outcomes in women with pre-gestational diabetes mellitus.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Avalos, G
    Carmody, L
    Dunne, F
    Kirwin, B
    Todd, M
    Gallacher, Therese
    Gaffney, G
    Durkan, M
    McHugh, C
    Affiliation
    1. Department of Diabetes, Galway University Hospital, National University of Ireland, Galway, Ireland 2. Department of Obstetrics and Gynaecology, National University of Ireland, Galway, Ireland
    Issue Date
    2011
    Keywords
    PREGNANCY
    HEALTH SERVICES AND THEIR MANAGEMENT
    
    Metadata
    Show full item record
    Is Part Of
    43rd Annual Meeting of DPSG Cambridge 2011
    URI
    http://hdl.handle.net/10147/238810
    Abstract
    Background and aims: The Atlantic Diabetes in Pregnancy (DIP) group established in 2005 represents 5 antenatal centres in a wide geographical location. The group provides care for women with diabetes before during and after pregnancy. We examined the outcomes of pregnancy in 2 periods (2005-2007) and (2008-2010) before and after the implementation of a region wide approach to delivery of care. The process of care changed from stand alone clinics with different personnel to integrated pre-pregnancy (PPC) and combined diabetes antenatal clinics in a hub and spoke fashion supported by an electronic data collection system, clinical care guidelines, professional education and patient education materials. Materials and Methods: Maternal (Glycated Haemoglobin (HbA1C), attendance at PPC, uptake of folic acid, Caesarean Section (CS) rates) and fetal/neonatal (miscarriage, stillbirth and perinatal mortality, admission to neonatal unit and birth weight >4kg) outcomes were recorded. Results: 104 and 152 pregnancies (23% and 30% Type 2) occurred in periods 1 and 2 respectively. Attendance for PPC increased from 28% to 53%, uptake of folic acid from 43% to 57%, and % of women with glycated haemoglobin at booking <7% increased from 51% to 60% between the 2 periods. In addition HbA1C decreased across all trimesters for women with both type 1 and type 2 diabetes over time. Elective CS rate increased from 18% to 41% with no change in the emergency CS rate. The take home baby rate increased from 76% to 89% and miscarriage/deaths<24 weeks decreased from 22% to 11%. The stillbirth and perinatal mortality rates both decreased from 25 to 15/1000, admission to neonatal unit decreased from 63% to 57% and % of babies >4kg decreased from 32% to 24%. Conclusion: A regional approach to the delivery of care has resulted in better pregnancy preparation for the mother and better neonatal outcomes as a consequence, resulting in a higher take home baby rate. The higher elective CS rate needs to be addressed.
    Item Type
    Conference Poster
    Language
    en
    Collections
    Galway University Hospitals

    entitlement

     
    Health Library Ireland | Health Service Executive | Jervis House, Jervis Street | Republic of Ireland | Eircode: D01 W596
    lenus@hse.ie | Tel: +353-1-7786275
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.