Efficacy of preconception care of diabetic women in a community setting

J Reprod Med. 1996 Jun;41(6):422-6.

Abstract

Objective: To determine the impact of informal preconception care of diabetic women on first-trimester glycemia control in a community setting.

Study design: Forty-five women with pregestational diabetes underwent a standardized interview regarding their preconception care prior to the index pregnancy. Patients under 14 weeks' gestation had their glycosylated hemoglobin measured; it was used as an index of first-trimester glycemic control. Variables related to glycemic control were analyzed with reference to glycosylated hemoglobin results.

Results: Despite a high incidence of counseling and frequent preconception visits, the mean first-trimester glycosylated hemoglobin (+/- SD) was high (10.7 +/- 2.0), and the majority of pregnancies were unplanned.

Conclusion: Informal and noncentralized preconception care was not effective in preventing first-trimester hyperglycemia in this group of diabetic women. A high rate of unplanned pregnancy and lack of structured preconception care were prevalent and possibly etiologic.

MeSH terms

  • Adult
  • Analysis of Variance
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / therapy*
  • Female
  • Gestational Age
  • Glycated Hemoglobin A / metabolism*
  • Humans
  • Hyperglycemia / blood
  • Hyperglycemia / prevention & control*
  • Interviews as Topic
  • Preconception Care / methods*
  • Pregnancy
  • Pregnancy Trimester, First / blood
  • Pregnancy in Diabetics / blood
  • Pregnancy in Diabetics / therapy*
  • Prognosis
  • Retrospective Studies

Substances

  • Glycated Hemoglobin A