Key result
Preconception counseling in women with pregestational diabetes was associated with better glycemic control 3 months preconception (OR 1.91; 95% CI 1.10-3.04) and reduced risk of adverse pregnancy outcomes.
Why the study?
Does preconception counseling improve markers of care and reduce adverse pregnancy outcomes in women with pregestational diabetes?
Observational (n=588)
Yes
Does preconception counseling improve markers of care and reduce adverse pregnancy outcomes in women with pregestational diabetes?
Odds Ratio: 1.91 (95% CI 1.1–3.04)
Preconception counseling in women with pregestational diabetes is associated with improved glycemic control, higher folic acid intake, and reduced adverse pregnancy outcomes, though uptake is lower in socioeconomically deprived groups.
Preconception counseling may improve outcomes in pregestational diabetes; leaves open causality pending prospective trials.
OBJECTIVE To investigate the association of preconception counseling with markers of care and maternal characteristics in women with pregestational diabetes. RESEARCH DESIGN AND METHODS The study includes data from a regional multi-center survey on 588 women with pregestational diabetes who delivered a singleton pregnancy between 2001 and 2004. Logistic regression was used to obtain crude and adjusted estimates of association. RESULTS Preconception counseling was associated with better glycemic control 3 months preconception (odds ratio 1.91, 95% CI 1.10-3.04) and in the first trimester (2.05, 1.39-3.03), higher preconception folic acid intake (4.88, 3.26-7.30), and reduced risk of adverse pregnancy outcome (P = 0.027). Uptake of preconception counseling was positively associated with type 1 diabetes (1.87, 1.14-3.07) and White British ethnicity (2.56, 1.17-5.6) and negatively with deprivation score (0.78, 0.70-0.87). CONCLUSIONS Efforts are needed to improve preconception counseling rates. Uptake is associated with maternal sociodemographic characteristics.
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Tripathi et al. (2009) conducted an observational in Pregestational diabetes (n=588). Preconception counseling vs. No preconception counseling was evaluated on Better glycemic control 3 months preconception (OR 1.91, 95% CI 1.10-3.04). Preconception counseling in women with pregestational diabetes was associated with better glycemic control 3 months preconception (OR 1.91; 95% CI 1.10-3.04) and reduced risk of adverse pregnancy outcomes.
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