The authors aimed to identify and compare modifiable risk factors associated with adverse pregnancy outcomes in women with type 1 diabetes and those with type 2 diabetes and to identify effective maternity clinics. The data highlight persistent adverse pregnancy outcomes in women with type 1 or type 2 diabetes. Maternal glycaemia and BMI are the key modifiable risk factors. No maternity clinics were had appreciably better outcomes than any others, suggesting that health-care system changes are needed across all clinics.

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30406-X/fulltext?utm_source=MHTF+Subscribers&utm_campaign=edeedd4439-EMAIL_CAMPAIGN_2018_07_27_03_30_COPY_01&utm_medium=email&utm_term=0_8ac9c53ad4-edeedd4439-183804741

References

  1. Feig DS Hwee J Shah BR Booth GL Bierman AS Lipscombe LL. Trends in incidence of diabetes in pregnancy and serious perinatal outcomes: a large, population-based study in Ontario, Canada, 1996–2010. Diabetes Care. 2014; 37: 1590-1596

  2. Mackin ST Nelson SM Kerssens JJ et al. Diabetes and pregnancy: national trends over a 15 year period. Diabetologia. 2018; 61: 1081-1088

  3. Fadl HE Simmons D. Trends in diabetes in pregnancy in Sweden 1998–2012. BMJ Open Diabetes Res Care. 2016; 4e000221

Categories

Maternal & Infant Health  Maternal Health  Maternal/Fetal health during pregnancy  Diabetes (Mesh)  

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