Pre-conception diabetes care in insulin-dependent diabetes mellitus

Citation
Fp. Dunne et al., Pre-conception diabetes care in insulin-dependent diabetes mellitus, QJM-MON J A, 92(3), 1999, pp. 175-176
Citations number
6
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Journal title
QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS
ISSN journal
1460-2725 → ACNP
Volume
92
Issue
3
Year of publication
1999
Pages
175 - 176
Database
ISI
SICI code
1460-2725(199903)92:3<175:PDCIID>2.0.ZU;2-1
Abstract
Prospective studies of pre-conception diabetes care have confirmed its posi tive impact on the incidence of malformations by improving glycaemic contro l. Less information is available on the impact of preconception care on mat ernal and neonatal morbidity. This audit addresses its impact on timing and mode of delivery, incidence of macrosomia and rate of admission to neonata l unit care in addition to sociodemographic factors which may influence att endance at such a service. Attenders were more likely to be in a stable rel ationship and be nonsmokers. They were more likely to book for antenatal ca re earlier and with a lower glycated haemoglobin. There were no early deliv eries (i.e. <30 weeks) or small for gestational age (SCA) babies in those w ho attended for pre-conception care and no neonatal deaths. Admission to NN U care was reduced by 50% in those who attended for preconception care. Alt hough the rate of macrosomia was reduced, there was no impact on the Caesar ian section rate. A pre-conception diabetes clinic may have a positive impa ct on neonatal morbidity.