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J Reprod Med. 1996 Jun;41(6):422-6.

Efficacy of preconception care of diabetic women in a community setting.

Author information

1
Department of Obstetrics and Gynecology, State University of New York at Buffalo, USA.

Abstract

OBJECTIVE:

To determine the impact of informal preconception care of diabetic women on first-trimester glycemia control in a community setting.

STUDY DESIGN:

Forty-five women with pregestational diabetes underwent a standardized interview regarding their preconception care prior to the index pregnancy. Patients under 14 weeks' gestation had their glycosylated hemoglobin measured; it was used as an index of first-trimester glycemic control. Variables related to glycemic control were analyzed with reference to glycosylated hemoglobin results.

RESULTS:

Despite a high incidence of counseling and frequent preconception visits, the mean first-trimester glycosylated hemoglobin (+/- SD) was high (10.7 +/- 2.0), and the majority of pregnancies were unplanned.

CONCLUSION:

Informal and noncentralized preconception care was not effective in preventing first-trimester hyperglycemia in this group of diabetic women. A high rate of unplanned pregnancy and lack of structured preconception care were prevalent and possibly etiologic.

PMID:
8799918
[Indexed for MEDLINE]

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