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

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Abstract

Introduction

The 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.

Methods

Retrospective chart review of all PGDM pregnancies. Comparison to CEMACH are shown in brackets.

Results

One 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).

Conclusion

These results serve to underline the continued importance of multidisciplinary care for pregnant women with diabetes.

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Authors and Affiliations

  1. University College Dublin, National Maternity Hospital, Holles Street, Dublin 2, Ireland

    M. Higgins, D. Galvin, F. McAuliffe, M. Coffey, R. Firth & M. Foley

  2. Mater Misercordiae Hospital, Eccles Street, Dublin 2, Ireland

    R. Firth, B. Kinsley & M. Byrne

  3. Coombe Womens’ and Infants University Hospital, Cork Street, Dublin 8, Ireland

    S. Daly, E. Coleman & B. Kinsley

  4. Rotunda Hospital, Parnell Square, Dublin 1, Ireland

    M. Geary, M. Byrne & S. Coulter-Smyth

Authors
  1. M. Higgins
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  2. D. Galvin
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  3. F. McAuliffe
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  4. M. Coffey
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  5. R. Firth
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  6. S. Daly
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  7. E. Coleman
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  8. B. Kinsley
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  9. M. Geary
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  10. M. Byrne
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  11. S. Coulter-Smyth
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  12. M. Foley
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Corresponding author

Correspondence to M. Higgins.

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Higgins, M., Galvin, D., McAuliffe, F. et al. Pregnancy in women with Type 1 and Type 2 diabetes in Dublin. Ir J Med Sci 180, 469–473 (2011). https://doi.org/10.1007/s11845-011-0682-8

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  • DOI: https://doi.org/10.1007/s11845-011-0682-8

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