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ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard

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 wit...

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Autores principales: Dunne, Fidelma P., Avalos, Gloria, Durkan, Meave, Mitchell, Yvonne, Gallacher, Therese, Keenan, Marita, Hogan, Marie, Carmody, Louise A., Gaffney, Geraldine
Formato: Texto
Lenguaje:English
Publicado: American Diabetes Association 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699718/
https://www.ncbi.nlm.nih.gov/pubmed/19564472
http://dx.doi.org/10.2337/dc09-1118
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author Dunne, Fidelma P.
Avalos, Gloria
Durkan, Meave
Mitchell, Yvonne
Gallacher, Therese
Keenan, Marita
Hogan, Marie
Carmody, Louise A.
Gaffney, Geraldine
author_facet Dunne, Fidelma P.
Avalos, Gloria
Durkan, Meave
Mitchell, Yvonne
Gallacher, Therese
Keenan, Marita
Hogan, Marie
Carmody, Louise A.
Gaffney, Geraldine
author_sort Dunne, Fidelma P.
collection PubMed
description 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.
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spelling pubmed-26997182010-07-01 ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard Dunne, Fidelma P. Avalos, Gloria Durkan, Meave Mitchell, Yvonne Gallacher, Therese Keenan, Marita Hogan, Marie Carmody, Louise A. Gaffney, Geraldine Diabetes Care Original Research 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. American Diabetes Association 2009-07 2009-04-14 /pmc/articles/PMC2699718/ /pubmed/19564472 http://dx.doi.org/10.2337/dc09-1118 Text en © 2009 by the American Diabetes Association. https://creativecommons.org/licenses/by-nc-nd/3.0/Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ (https://creativecommons.org/licenses/by-nc-nd/3.0/) for details.
spellingShingle Original Research
Dunne, Fidelma P.
Avalos, Gloria
Durkan, Meave
Mitchell, Yvonne
Gallacher, Therese
Keenan, Marita
Hogan, Marie
Carmody, Louise A.
Gaffney, Geraldine
ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title_full ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title_fullStr ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title_full_unstemmed ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title_short ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
title_sort atlantic dip: pregnancy outcome for women with pregestational diabetes along the irish atlantic seaboard
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699718/
https://www.ncbi.nlm.nih.gov/pubmed/19564472
http://dx.doi.org/10.2337/dc09-1118
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