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Improving outcomes of pregnancy for women with type 1 and type 2 diabetes

Department of Diabetes and Endocrinology, Ipswich Hospital NHS Trust, Heath Road, Ipswich, IP4 5PD, UK, Helen.Murphy{at}ipswichhospital.nhs.uk

Rosemary C Temple

Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital NHS Trust, Norwich, United Kingdom, NR4 7UY, UK

Jonathan M Roland

Peterborough and Stamford NHS Foundation Trust, Peterborough, PE3 6DA, UK

The pregnancy outcomes for women with type 1 diabetes remain poor with increased risk of major congenital malformation, stillbirth, premature delivery and perinatal death compared to the background maternity population. Despite clear evidence that women who attend prepregnancy care have improved blood glucose control with reduced risk of serious adverse outcomes, only a minority of women attend these clinics. For women with type 2 diabetes who are older, more obese and more likely to belong to an ethnic minority or live in an area of social deprivation, pregnancy outcomes are at least as poor as for women with type 1 diabetes. This is important as the prevalence of type 2 diabetes in women of reproductive years is increasing and even fewer women with type 2 diabetes attend prepregnancy care or take folic acid supplementation. Greater awareness regarding the risks among women with diabetes as well as primary and secondary healthcare professionals is required, if pregnancy outcomes are to be improved.

Key Words: prepregnancy care • pregnancy • type 1 diabetes • type 2 diabetes.

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The British Journal of Diabetes & Vascular Disease, Vol. 7, No. 1, 38-42 (2007)
DOI: 10.1177/14746514070070010701


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