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The challenges and future considerations regarding pregnancy-related outcomes in women with pre-existing diabetes

journal contribution
posted on 01.12.2013, 00:00 authored by H Singh, H Murphy, Christel HendrieckxChristel Hendrieckx, L Ritterband, Jane SpeightJane Speight
Ineffective management of blood glucose levels during preconception and pregnancy has been associated with severe maternal and fetal complications in women with pre-existing diabetes. Studies have demonstrated that preconception counseling and pre-pregnancy care can dramatically reduce these risks. However, pregnancy-related outcomes in women with diabetes continue to be less than ideal.

This review highlights and discusses a variety of patient, provider, and organizational factors that can contribute to these suboptimal outcomes. Based on the findings of studies reviewed and authors’ clinical and research experiences, recommendations have been proposed focusing on various aspects of care provided, including improved accessibility to effective preconception and pregnancy-related care and better organized clinic consultations that are sensitive to women’s diabetes and pregnancy needs.

History

Journal

Current diabetes reports

Volume

13

Issue

6

Pagination

869 - 876

Publisher

Springer Healthcare

Location

Philadelphia, Pennsylvania

ISSN

1534-4827

eISSN

1539-0829

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2013, Springer