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Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review

INTRODUCTION: Type 1 diabetes mellitus occurs in one in every 275 pregnancies and can result in increased morbidity and mortality for both mother and baby. Several pregnancy complications can be reduced or prevented by attendance at pre‐pregnancy care (PPC). Despite this, less than 40% of pregnant w...

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Autores principales: Ferry, Pauline, Dunne, Fidelma P., Meagher, Catherine, Lennon, Roisin, Egan, Aoife M., Newman, Christine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099966/
https://www.ncbi.nlm.nih.gov/pubmed/36408687
http://dx.doi.org/10.1111/dme.15014
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author Ferry, Pauline
Dunne, Fidelma P.
Meagher, Catherine
Lennon, Roisin
Egan, Aoife M.
Newman, Christine
author_facet Ferry, Pauline
Dunne, Fidelma P.
Meagher, Catherine
Lennon, Roisin
Egan, Aoife M.
Newman, Christine
author_sort Ferry, Pauline
collection PubMed
description INTRODUCTION: Type 1 diabetes mellitus occurs in one in every 275 pregnancies and can result in increased morbidity and mortality for both mother and baby. Several pregnancy complications can be reduced or prevented by attendance at pre‐pregnancy care (PPC). Despite this, less than 40% of pregnant women with pre‐gestational diabetes receive formal PPC. The aim of this scoping review is to identify the barriers to PPC attendance among women with type 1 diabetes. METHODS: We conducted a scoping review by searching five databases (Ebsco, Embase, Ovid and PubMed for literature and the ProQuest for any grey/unpublished literature) for studies in English between 2000 and 2022. Studies that evaluated attendance at PPC for women with type 1 diabetes were included. RESULTS: There are multiple barriers to PPC attendance, and many of these barriers have been unchanged since the 1990s. Identified barriers can be grouped under patient‐centered and clinician‐centered headings. Patient factors include knowledge and awareness, unplanned pregnancies, negative perceptions of healthcare and communication issues, unclear attendance pathways and logistical issues including time off work and childcare. Clinician factors include physician knowledge, time constraints and lack of comfort discussing pregnancy/contraception. CONCLUSION: This review highlights the ongoing problem of poor attendance at PPC and identifies key barriers to be addressed when developing and implementing PPC programs for women with type 1 diabetes.
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spelling pubmed-100999662023-04-14 Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review Ferry, Pauline Dunne, Fidelma P. Meagher, Catherine Lennon, Roisin Egan, Aoife M. Newman, Christine Diabet Med Reviews INTRODUCTION: Type 1 diabetes mellitus occurs in one in every 275 pregnancies and can result in increased morbidity and mortality for both mother and baby. Several pregnancy complications can be reduced or prevented by attendance at pre‐pregnancy care (PPC). Despite this, less than 40% of pregnant women with pre‐gestational diabetes receive formal PPC. The aim of this scoping review is to identify the barriers to PPC attendance among women with type 1 diabetes. METHODS: We conducted a scoping review by searching five databases (Ebsco, Embase, Ovid and PubMed for literature and the ProQuest for any grey/unpublished literature) for studies in English between 2000 and 2022. Studies that evaluated attendance at PPC for women with type 1 diabetes were included. RESULTS: There are multiple barriers to PPC attendance, and many of these barriers have been unchanged since the 1990s. Identified barriers can be grouped under patient‐centered and clinician‐centered headings. Patient factors include knowledge and awareness, unplanned pregnancies, negative perceptions of healthcare and communication issues, unclear attendance pathways and logistical issues including time off work and childcare. Clinician factors include physician knowledge, time constraints and lack of comfort discussing pregnancy/contraception. CONCLUSION: This review highlights the ongoing problem of poor attendance at PPC and identifies key barriers to be addressed when developing and implementing PPC programs for women with type 1 diabetes. John Wiley and Sons Inc. 2022-11-28 2023-03 /pmc/articles/PMC10099966/ /pubmed/36408687 http://dx.doi.org/10.1111/dme.15014 Text en © 2022 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Reviews
Ferry, Pauline
Dunne, Fidelma P.
Meagher, Catherine
Lennon, Roisin
Egan, Aoife M.
Newman, Christine
Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title_full Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title_fullStr Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title_full_unstemmed Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title_short Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
title_sort attendance at pre‐pregnancy care clinics for women with type 1 diabetes: a scoping review
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099966/
https://www.ncbi.nlm.nih.gov/pubmed/36408687
http://dx.doi.org/10.1111/dme.15014
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