Type-2 diabetes mellitus: does prenatal care affect outcomes?

Allen, Allison; Snowden, Jonathan M.; Lau, Bernard; Cheng, Yvonne W.; Caughey, Aaron B.

doi:10.1080/14767058.2016.1276558

Cited by 23 publications

(41 citation statements)

References 9 publications

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“…It is worth highlighting that adequate prenatal care is associated with more favorable outcomes in maternal and infant health, especially when the prenatal care group included a multidisciplinary team. 26,27 The multivariate analysis also showed statistically significant association between age and long birth intervals. Age < 20 years old decreases the chances of long birth intervals, whereas age !…”

Section: Discussionmentioning

confidence: 70%

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Factors Associated with Inadequate Birth Intervals in the BRISA Birth Cohort, Brazil

Barbosa

Alves

Nathasje

et al. 2020

Rev Bras Ginecol Obstet

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Objective To determine the prevalence of inadequate birth interval and its associated factors in the BRISA study. Methods Cross-sectional study using data from the BRISA cohort. Birth interval was categorized into “adequate” (≥ 2 years or < 5 years between births), “short interval” (< 2 years) and “long interval” (≥ 5 years). The analysis of the factors associated with short and long birth intervals used multinomial logistic regression. Results The prevalence of adequate birth intervals was 48.3%, of long intervals, 34.6%, and of short intervals, 17.1%. Skin color, age, education level, economic status, type of delivery, number of prenatal visits, parity, blood pressure, diabetes, and anemia (p-value was < 0.2 in the univariate analysis) proceeded to the final model. The variable ≥ 3 births (odds ratio [OR] = 1.29; confidence interval [CI]: 1.01–1.65) was associated with short intervals. Age < 20 years old (OR = 0.48; CI: 0.02–0.12) or ≥ 35 years old (OR = 2.43; CI: 1.82–3.25), ≥ 6 prenatal visits (OR = 0.58; CI: 0.47–0.72), ≥ 3 births (OR = 0.59; CI: 0.49–0.73), and gestational diabetes (OR = 0.38; CI: 0.20–0.75) were associated with long intervals. Conclusion Older mothers were more likely to have long birth intervals, and higher parity increases the chances of short birth intervals. Furthermore, gestational diabetes and adequate prenatal care presented higher chances of having adequate birth intervals, indicating that health assistance during pregnancy is important to encourage an adequate interval between gestations.

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Section: Discussionmentioning

confidence: 70%

“…A possible explanation for this finding is the potential of prenatal care in monitoring gestational morbidities. 26 No association was found between prevalence of anemia during pregnancy and birth interval. Despite the fact that anemia is common during pregnancy, the findings in the literature are inconclusive.…”

Section: Discussionmentioning

confidence: 97%

Factors Associated with Inadequate Birth Intervals in the BRISA Birth Cohort, Brazil

Barbosa

Alves

Nathasje

et al. 2020

Rev Bras Ginecol Obstet

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“…Pre‐pregnancy counseling results in better metabolic control at conception and has been linked to better outcomes for women with type 1 and type 2 diabetes: higher rates of stillbirth and preterm delivery have been reported among women who booked late . Mean HbA1c was almost 1% lower in a British cohort than in the present study, which also demonstrated higher rates of congenital anomalies, highlighting the relevance of preconception care.…”

Section: Discussionmentioning

confidence: 40%

“…Pre-pregnancy counseling results in better metabolic control at conception and has been linked to better outcomes for women with type 1 23 and type 2 diabetes: higher rates of stillbirth and preterm delivery have been reported among women who booked late. 24…”

Section: Discussionmentioning

confidence: 99%

Temporal changes in characteristics and outcomes among pregnant women with pre‐gestational diabetes

Alessi

Wiegand

Hirakata

et al. 2018

Intl J Gynecology & Obste

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“…Wei et al 18 also reported that the risk of PTB was higher in women who had pre-gestational diabetes mellitus (OR = 1.17, 95% CI: 1.14-1.20; P < 0.001), after a retrospective study of 6447339 Chinese pregnant women who participated in prenatal care. Allison et al 19 also revealed that PTB was statistically signi cant with AOR 1.55 (95% CI: 1.03-2.32) in women with type-2 diabetes mellitus. They found that women who did not present for prenatal care until time of delivery had an increased risk of stillbirth and PTB which pointed out the indispensable necessity of routine prenatal care.…”

Section: Validation Of Scoring Systemmentioning

confidence: 93%

Early Prediction Model for Preterm Birth Combining Demographic Characteristics and Clinical Characteristics

Chen

Xie

Liang

et al. 2020

Preprint

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Objective. To create early prediction models for preterm birth (PTB) based on the Chinese population, combining demographic characteristics and clinical characteristics.Methods. A retrospective study on 15197 pregnant women who were recruited in Obstetrics and Gynecology Hospital of Zhejiang University from January1, 2017 to December 31, 2017. Demographic characteristics and clinical characteristics were collected and were randomly divided into the observation group (80%) and the validation group (20%). Multivariable Logistics regression analysis was performed to develop a risk prediction model in the observation group and the validation group. It was evaluated by the value of area under the curve (AUC) of receiver operating characteristic (ROC). Finally, we got a simple scoring system to present the preterm birth risk. Results. There were 1082 pregnant women (8.9%) developed PTB in the observation group and 316 pregnant women (10.3%) in the validation group. Gravidity, educational level, residence, previous history of PTB, twin pregnancy, pre-gestational diabetes mellitus (type I or II), chronic hypertension, placenta previa, gestational hypertension were significant predictors of future PTB. These factors were all included in the model, the AUC was 0.746 with sensitivity of 61.4% (95%CI: 61.4-66.7%) and specificity of 86.6% (95%CI: 85.2-87.9%) at the threshold score of 8.Conclusion. PTB can be predicted by demographic characteristics and clinical characteristics pre-pregnancy or during pregnancy, thus predicting and preventing PTB as early as possible.

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Type-2 diabetes mellitus: does prenatal care affect outcomes?

Abstract: Treatment of T2DM throughout pregnancy leads to improved maternal and neonatal outcomes.

Cited by 23 publications

References 9 publications

Factors Associated with Inadequate Birth Intervals in the BRISA Birth Cohort, Brazil

Factors Associated with Inadequate Birth Intervals in the BRISA Birth Cohort, Brazil

Temporal changes in characteristics and outcomes among pregnant women with pre‐gestational diabetes

Early Prediction Model for Preterm Birth Combining Demographic Characteristics and Clinical Characteristics

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