ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic Seaboard
- Fidelma P. Dunne, PHD1,
- Gloria Avalos, MSC1,
- Meave Durkan, MD1,
- Yvonne Mitchell1,
- Therese Gallacher, RN1,
- Marita Keenan, RN/RM1,
- Marie Hogan1,
- Louise A. Carmody1,
- Geraldine Gaffney, MD2 and
- for the ATLANTIC DIP collaborators
- 1Department of Medicine, College of Medicine Nursing and Health Sciences, National University of Ireland, Galway, Ireland;
- 2Department of Obstetrics, College of Medicine Nursing and Health Sciences, National University of Ireland, Galway, Ireland.
- Corresponding author: Prof. Fidelma Dunne, fidelma.dunne{at}nuigalway.ie.
Abstract
OBJECTIVE Prospective evaluation of pregnancy outcomes in pregestational diabetes along the Atlantic seaboard 2006–2007.
RESEARCH DESIGN AND METHODS The Atlantic Diabetes in Pregnancy group, representing five antenatal centers in a wide geographical location, was established in 2005. All women with diabetes for >6 months before the index pregnancy were included. Results were collected electronically via the DIAMOND Diabetes Information System. Pregnancy outcome was compared with background rates.
RESULTS There were 104 singleton pregnancies. The stillbirth rate (25/1,000) was 5 times, perinatal mortality rate (25/1,000) 3.5 times, and congenital malformation rate (24/1,000) 2 times that of the background population. A total of 28% of women received prepregnancy care, 43% received prepregnancy folic acid, and 51% achieved an A1C ≤7% at first antenatal visit.
CONCLUSIONS Women are not well prepared for pregnancy, and outcomes are suboptimal. A regional prepregnancy care program and centralized glucose management are urgently needed.
Footnotes
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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- Received January 21, 2009.
- Accepted March 24, 2009.
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Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
- © 2009 by the American Diabetes Association.
