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Diabetes Res Clin Pract. 2007 Apr;76(1):142-5. Epub 2006 Sep 6.

Preconception care of women attending adult general diabetes clinics--are we doing enough?

Author information

1
Department of Diabetes and Endocrinology, Princess Royal Hospital, Telford TF1 6TF, UK. georgeiv@doctors.org.uk

Abstract

BACKGROUND:

The presence of diabetes in pregnancy can result in substantial morbidity to both mother and baby if management is sub-optimal.

AIMS:

To assess the process of standards of preconception care (against the National Service Framework standards) of women attending the adult general diabetes clinics in a district general hospital.

METHODS:

Retrospective review of case notes of women aged 18-40 years attending the general diabetes clinics for annual review, over a period of 6 months.

RESULTS:

Seventy sets of notes were reviewed. The mean age of the patients was 32 years. Fifty-six patients had type-1 diabetes and 14 patients had type-2 diabetes. Mean duration of diabetes was 13 years. Eighty-six percent of the patients had blood pressure recordings documented. Mean blood pressure was 124/74 mmHg. Mean HbA1c was 9.1%. Documented evidence of home blood glucose monitoring was seen in 66% of the patients. Preconception counselling/contraception were discussed in 17 patients (25%). Twenty-nine patients (41%) were on potentially teratogenic medications. Alcohol and smoking history was not documented in 91% and 61% of the patients, respectively.

CONCLUSIONS:

This retrospective assessment highlights that reproductive issues in an at risk population of women with diabetes are not included in routine management of diabetes care in outpatient clinics.

PMID:
16950540
DOI:
10.1016/j.diabres.2006.07.025
[Indexed for MEDLINE]

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