Preconception counselling in women with diabetes: a population-based study in the North of England

Tripathi, Anvish, Rankin, Judith, Aarvold, Joan, Chandler, Colin and Bell, Ruth (2010) Preconception counselling in women with diabetes: a population-based study in the North of England. Diabetes Care, 33 (3). pp. 586-588. ISSN 0149-5992

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Official URL: http://dx.doi.org/10.2337/dc09-1585

Abstract

To investigate the association of preconception counseling with markers of care and maternal characteristics in women with pregestational diabetes. 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. 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). Efforts are needed to improve preconception counseling rates. Uptake is associated with maternal sociodemographic characteristics.

Item Type: Article
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Public Health and Wellbeing
Depositing User: EPrints Services
Date Deposited: 07 Apr 2010 13:36
Last Modified: 10 Aug 2015 11:40
URI: http://nrl.northumbria.ac.uk/id/eprint/1439

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