• Ir J Med Sci · Jun 2011

    Pregnancy in women with Type 1 and Type 2 diabetes in Dublin.

    • M Higgins, D Galvin, F McAuliffe, M Coffey, R Firth, S Daly, E Coleman, B Kinsley, M Geary, M Byrne, S Coulter-Smyth, and M Foley.
    • University College Dublin, National Maternity Hospital, Holles Street, Dublin 2, Ireland. mary.higgins@ucd.ie
    • Ir J Med Sci. 2011 Jun 1; 180 (2): 469473469-73.

    IntroductionThe Confidential Enquiry into Maternal and Child Health (CEMACH) reported outcomes of pregnancies in women with pre-gestational diabetes (PGDM) in the UK (n = 3,733). This study aimed to compare CEMACH outcomes with PGDM pregnancies in Dublin.MethodsRetrospective chart review of all PGDM pregnancies. Comparison to CEMACH are shown in brackets.ResultsOne hundred and ten PGDM women delivered in Dublin. Thirty (27%) had T2 diabetes (vs. 27%). Fifty-nine (53%) women had a booking HbA1c less than 7% (vs. 66%). Nineteen women (17.3%) had a first trimester miscarriage (vs. 8.5%). Of the 91 remaining women, 71 (78%) women underwent induction of labour (vs. 38.9%). Fifty-four women (59.3%) were delivered by caesarean section (vs. 67.4%). Two infants (2.1%) were macrosomic (vs. 5.7%). There was one intrauterine death (0.1 vs. 0.6%) and no maternal deaths (vs. five).ConclusionThese results serve to underline the continued importance of multidisciplinary care for pregnant women with diabetes.

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