Conference Publication Details
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Dunne, FP,Avalos, G,Durkan, M,Mitchell, Y,Gallacher, T,Keenan, M,Hogan, M,Carmody, LA,Gaffney, G
ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Alantic Seaboard
DIABETES CARE
2009
July
Published
1
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Optional Fields
GLYCEMIC CONTROL MELLITUS CARE MALFORMATIONS RISK
1205
1206
OBJECTIVE - Prospective evaluation of pregnancy outcomes in pregestational diabetes along the Atlantic seaboard 2006-2007.RESEARCH DESIGN AND METHODS - 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.RESULTS - 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 <= 7% at first antenatal visit.CONCLUSIONS - Women are not well prepared for pregnancy, and outcomes are suboptimal. A regional prepregnancy care program and centralized glucose management are urgently needed.
DOI 10.2337/dc09-0118
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