| Changing clinical practice can improve clinical outcomes for women with pre-gestational diabetes mellitus. | |
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MedLine Citation:
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PMID: 22838099 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Prospective evaluation of pregnancy outcomes in women with pre-gestational diabetes over 6 years. The ATLANTIC Diabetes in Pregnancy group represents 5 antenatal centres along the Irish Atlantic seaboard, providing care for women with diabetes throughout pregnancy. In 2007 the group published a report that recognised that women were poorly prepared for pregnancy and that outcomes were sub-optimal. A change in practice occurred, offering women specialist-led, evidence-based care, both pre-pregnancy and combined antenatal/diabetes clinics during pregnancy. We now compare outcomes from 2005-2007 with 2008-2010. There was an increase in the numbers attending pre-conception care. Glycemic control before and throughout pregnancy improved. There was an overall increase in live births and decrease in perinata mortality rate. There was a decrease in large-for-gestational-age babies in mothers with Type 1 Diabetes. Elective Caesarean section rates increased while emergency section rates decreased. More women had Type 2 diabetes over time and these women were more likely to be obese. Changing the process of clinical care delivery can improve outcomes in for women with pre-gestational diabetes. |
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Authors:
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L A Owens; G Avalos; B Kirwan; L Carmody; F P Dunne |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Irish medical journal Volume: 105 ISSN: 0332-3102 ISO Abbreviation: Ir Med J Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-07-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0430275 Medline TA: Ir Med J Country: Ireland |
Other Details:
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Languages: eng Pagination: 9-11 Citation Subset: IM |
Affiliation:
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School of Medicine National University of Ireland, Galway. lisaannowens@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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