Atlantic dip: pregnancy outcome for women with pre-gestational diabetes along the irish atlantic seaboard.
Dunne, F. P
Carmody, L. A
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Dunne, F. P; Avalos, G. Durkan, M.; Mitchell, Y.; Gallacher, T.; Keenan, M.; Hogan, M.; Carmody, L. A; Gaffney, G.; , (2009). Atlantic dip: pregnancy outcome for women with pre-gestational diabetes along the irish atlantic seaboard.. Diabetes Care 32 (7), 1205-1206
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 &gt;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 &lt;= 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.