Effect of pregnancy planning on maternal and neonatal outcomes in women with Type 1 diabetes

被引:27
作者
Wotherspoon, A. C. [1 ]
Young, I. S. [1 ]
Patterson, C. C. [1 ]
McCance, D. R. [2 ]
Holmes, V. A. [1 ]
机构
[1] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, Belfast, Antrim, North Ireland
[2] Royal Victoria Hosp, Reg Ctr Endocrinol & Diabet, Belfast, Antrim, North Ireland
基金
英国惠康基金;
关键词
GLYCEMIC CONTROL; UNINTENDED PREGNANCY; PREPREGNANCY CARE; PRECONCEPTION; ATTITUDES; PREECLAMPSIA; HYPERTENSION; KNOWLEDGE; SMOKING; RISK;
D O I
10.1111/dme.13398
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
AimsTo assess the effect of pregnancy planning on maternal and neonatal outcomes in women with Type 1 diabetes. MethodsPregnancy planning was assessed retrospectively in a cohort of women who participated in the Diabetes and Pre-eclampsia Intervention Trial (DAPIT). Pregnancy planning was determined based on self-report as to whether pregnancy was planned or unplanned. The effect of pregnancy planning on maternal and neonatal outcomes was examined, controlling for confounding variables. ResultsA total of 747 women were included in the study, of whom 39% considered their pregnancy unplanned. Characteristics associated with unplanned pregnancy included being younger (P<0.001), being a current smoker (P<0.001), being from a lower social class (P<0.001) and having higher HbA(1c) values prior to and throughout pregnancy (P0.005). Significantly fewer women with unplanned vs planned pregnancies received pre-pregnancy counselling (24% vs 64%; P<0.001). Infants of women with unplanned pregnancies were more likely to be small for gestational age (<5(th) centile; P=0.004), to be admitted to the neonatal care unit (P=0.001) and to have a longer stay in hospital (P=0.01). Outcomes did not differ between the groups in relation to pre-eclampsia, congenital malformations or a composite adverse outcome. ConclusionsRisks associated with diabetes in pregnancy need to be highlighted to all women, their partners and families, and healthcare professionals. Further research is required to determine if these groups are fully aware of the risks associated with diabetes in pregnancy.
引用
收藏
页码:1303 / 1308
页数:6
相关论文
共 50 条
  • [21] The association between maternal renal function and pregnancy outcomes in type 1 and type 2 diabetes
    Seah, Jas-mine
    Kam, Ning Mao
    Wong, Lydia
    Tanner, Cara
    MacIsaac, Richard J.
    Shub, Alexis
    Ekinci, Elif I.
    Houlihan, Christine
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2020, 165
  • [22] Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study
    Murphy, Helen R.
    Bell, Ruth
    Cartwright, Cher
    Curnow, Paula
    Maresh, Michael
    Morgan, Margery
    Sylvester, Catherine
    Young, Bob
    Lewis-Barned, Nick
    DIABETOLOGIA, 2017, 60 (09) : 1668 - 1677
  • [23] Perinatal Maternal and Neonatal Outcomes in Women With Gestational Diabetes Mellitus According to Fetal Sex
    Tundidor, Diana
    Garcia-Patterson, Apolonia
    Maria, Miguel A.
    Ubeda, Justa
    Ginovart, Gemma
    Adelantado, Juan M.
    de Leiva, Alberto
    Corcoy, Rosa
    GENDER MEDICINE, 2012, 9 (06) : 411 - 417
  • [24] Neonatal and Maternal Outcomes among Women with Glomerulonephritis
    Madej, Anna
    Mazanowska, Natalia
    Cyganek, Anna
    Pazik, Joanna
    Pietrzak, Bronislawa
    AMERICAN JOURNAL OF NEPHROLOGY, 2020, 51 (07) : 534 - 541
  • [25] Acute Complications and Pregnancy Outcomes with Continuous Subcutaneous Insulin Infusion Therapy in Pregnant Women with Type 1 Diabetes Mellitus
    Kalan Sari, Isilay
    Eroglu Altinova, Alev
    Ozkan, Cigdem
    Akturk, Mujde
    Konca Degertekin, Ceyla
    Cerit, Ethem Turgay
    Yalcin, Mehmet Muhittin
    Balos Toruner, Fusun
    Karakoc, Ayhan
    Yetkin, Ilhan
    Ayvaz, Goksun
    Cakir, Nuri
    TURKISH JOURNAL OF ENDOCRINOLOGY AND METABOLISM, 2020, 24 (02) : 109 - 114
  • [26] Prepregnancy Weight in Women with Type I Diabetes Mellitus: Effect on Pregnancy Outcomes
    Kawakita, T.
    Bowers, K.
    Coviello, E.
    Miodovnik, M.
    Ehrlich, S.
    Rosenn, B.
    Khoury, J. C.
    AMERICAN JOURNAL OF PERINATOLOGY, 2016, 33 (13) : 1300 - 1305
  • [27] Pregnancy, delivery and neonatal outcomes among women with diabetic retinopathy
    Alnoman, Abdullah
    Peeva, Magdalena
    Badeghiesh, Ahmad M.
    Baghlaf, Haitham A.
    Dahan, Michael H.
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2022, 35 (26) : 10621 - 10628
  • [28] Type 1 Diabetes and Pregnancy: Challenges in Glycemic Control and Maternal-Fetal Outcomes
    Apata, Tejumola
    Samuel, Dennis
    Valle, Laticia
    Crimmins, Sarah D.
    SEMINARS IN REPRODUCTIVE MEDICINE, 2024, 42 (03) : 239 - 248
  • [29] Antenatal maternal hypoglycemia in women with gestational diabetes mellitus and neonatal outcomes
    Harrison, Rachel K.
    Saravanan, Vishmayaa
    Davitt, Caroline
    Cruz, Meredith
    Palatnik, Anna
    JOURNAL OF PERINATOLOGY, 2022, 42 (08) : 1091 - 1096
  • [30] Assessing the impact of pregnancy planning on obstetric and perinatal outcomes in women with pregestational diabetes mellitus
    Chimenea, Angel
    Calderon, Ana Maria
    Antinolo, Guillermo
    Moreno-Reina, Eduardo
    Garcia-Diaz, Lutgardo
    DIABETES RESEARCH AND CLINICAL PRACTICE, 2024, 209