Preconception counseling in women with diabetes
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Authors
Tripathi, Avnish
Rankin, Judith
Aarvold, Joan
Chandler, Colin
Bell, Ruth
Issue Date
2009-12-29
Type
Article
Language
en_US
Keywords
Preconception Counseling , Women With Diabetes
Alternative Title
A population-based study in the north of England
Abstract
OBJECTIVE:
To investigate the association of preconception counseling with markers of care and maternal characteristics in women with pregestational diabetes.
RESEARCH DESIGN AND METHODS:
The study includes data from a regional multi-center survey on 588 women with pregestational diabetes who delivered a singleton pregnancy between 2001 and 2004. Logistic regression was used to obtain crude and adjusted estimates of association.
RESULTS:
Preconception counseling was associated with better glycemic control 3 months preconception (odds ratio 1.91, 95% CI 1.10–3.04) and in the first trimester (2.05, 1.39–3.03), higher preconception folic acid intake (4.88, 3.26–7.30), and reduced risk of adverse pregnancy outcome (P = 0.027). Uptake of preconception counseling was positively associated with type 1 diabetes (1.87, 1.14–3.07) and White British ethnicity (2.56, 1.17–5.6) and negatively with deprivation score (0.78, 0.70–0.87).
CONCLUSIONS:
Efforts are needed to improve preconception counseling rates. Uptake is associated with maternal sociodemographic characteristics.
Description
Citation
Tripathi, A., Rankin, J., Aarvold, J., Chandler, C., & Bell, R. (2010). Preconception counseling in women with diabetes: a population-based study in the north of England. Diabetes care, 33(3), 586–588. https://doi.org/10.2337/dc09-1585
Publisher
Diabetes Care