Ten Years of Optimizing Outcomes for Women With Type 1 and Type 2 Diabetes in Pregnancy-The Atlantic DIP Experience

The Journal of Clinical Endocrinology and Metabolism
Lisa A OwensF P Dunne

Abstract

Pregnancy for women with type 1 or type 2 diabetes is a time of increased risk for both mother and baby. The Atlantic Diabetes in Pregnancy program provides coordinated, evidence-based care for women with diabetes in Ireland. Founded in 2005, the program now shares outcomes over its first decade in caring for pregnant women with diabetes. The objective was to assess improvements in clinical outcomes after the introduction of interventions. We retrospectively examined 445 pregnancies in women with type 1 and type 2 diabetes and compared them over two timepoints, 2005–2009 and 2010–2014. Interventions introduced over that time include: provision of combined antenatal/diabetes clinics, prepregnancy care, electronic data management, local clinical care guidelines, professional and patient education materials, an app, and a web site. Pregnancy outcomes were measured. The introduction of the Atlantic Diabetes in Pregnancy program has been associated with a reduction in adverse neonatal outcomes. There has been a reduction in congenital malformations (5 to 1.8%; P = .04), stillbirths (2.3 vs 0.4%; P = .09), despite an upward trend in maternal age (mean age, 31.7 vs 33 years), obesity (29 vs 43%; body mass index >30 kg/m2), and excessi...Continue Reading

Citations

Feb 23, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·A M EganUNKNOWN Atlantic DIP Collaborators
Jul 7, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Janine AlessiAngela J Reichelt
Jun 15, 2018·Pediatric Diabetes·Fergus J CameronEthel Codner
Feb 3, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·A M EganUNKNOWN National Diabetes in Pregnancy Audit working group
Nov 1, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Elizabeth A McCarthyAlexis Shub
Dec 27, 2019·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Maria Lúcia Da Rocha OppermannAngela Jacob Reichelt
Apr 6, 2019·Nature Reviews. Endocrinology·Lene RingholmElisabeth R Mathiesen
Jan 25, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Rebecca L WilliamsonAlexis Shub
Feb 7, 2021·International Journal of Nursing Studies·Katelyn SushkoDiana Sherifali
Aug 2, 2020·Mayo Clinic Proceedings·Aoife M EganAdrian Vella

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