Preconception Counseling in Women with Diabetes: A Population-Based Study in the North of England

Avnish Tripathi, Judith Rankin, Joan Aarvold, Colin Chandler, Ruth Bell

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate the association of preconception counseling with markers of care and maternal characteristics in women with pregestational diabetes

RESEARCH DESIGN AND METHODS- 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.

RESULTS- 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).

CONCLUSIONS- Efforts are needed to improve preconception counseling rates. Uptake is associated with maternal sociodemographic characteristics.

Original languageEnglish
Pages (from-to)586-588
JournalDiabetes Care
Volume33
Issue number3
Early online date29 Dec 2009
DOIs
Publication statusPublished - Mar 2010

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