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    Diabetic retinopathy in pregnancy: a population-based study of women with pregestational diabetes.

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    Authors
    Egan, Aoife M
    McVicker, Lyle
    Heerey, Adrienne
    Carmody, Louise
    Harney, Fiona
    Dunne, Fidelma P
    Issue Date
    2015-04
    Keywords
    DIABETES MELLITUS
    PREGNANCY
    EYE DISORDERS
    
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    Citation
    Diabetic retinopathy in pregnancy: a population-based study of women with pregestational diabetes. 2015, 2015:310239 J Diabetes Res
    Publisher
    Journal of diabetes research
    Journal
    Journal of diabetes research
    URI
    http://hdl.handle.net/10147/583456
    DOI
    10.1155/2015/310239
    PubMed ID
    25945354
    Abstract
    The aim of this observational study was to evaluate screening and progression of diabetic retinopathy during pregnancy in women with pregestational diabetes attending five antenatal centres along the Irish Atlantic seaboard. An adequate frequency of screening was defined as at least two retinal evaluations in separate trimesters. Progression was defined as at least one stage of deterioration of diabetic retinopathy and/or development of diabetic macular edema on at least one eye. Women with pregestational diabetes who delivered after 22 gestational weeks (n = 307) were included. In total, 185 (60.3%) had an adequate number of retinal examinations. Attendance at prepregnancy care was associated with receiving adequate screening (odds ratio 6.23; CI 3.39-11.46 (P < 0.001)). Among those who received adequate evaluations (n = 185), 48 (25.9%) had retinopathy progression. Increasing booking systolic blood pressure (OR 1.03, CI 1.01-1.06, P = 0.02) and greater drop in HbA1c between first and third trimesters of pregnancy (OR 2.05, CI 1.09-3.87, P = 0.03) significantly increased the odds of progression. A significant proportion of women continue to demonstrate retinopathy progression during pregnancy. This study highlights the role of prepregnancy care and the importance of close monitoring during pregnancy and identifies those patients at the highest risk for retinopathy progression.
    Item Type
    Article
    Language
    en
    ISSN
    2314-6753
    ae974a485f413a2113503eed53cd6c53
    10.1155/2015/310239
    Scopus Count
    Collections
    Galway University Hospitals

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