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Diabetes care|Chinese scholars: Comprehensive management of pregnant women during pregnancy can significantly improve pregnancy outcomes!

 Last Update: 2021-05-20
 Source: Internet
 Author: User

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There is ample evidence that women with type 1 diabetes (T1D) have an increased risk of adverse pregnancy outcomes.

Through diabetes , continuous blood glucose monitoring (CGM), pre-pregnancy folic acid supplementation and perinatal weight management can better control the blood sugar of pregnant women and improve the pregnancy outcome of T1D women.

The World Health Organization (WHO) recommends a universal maternal care framework, which has been successfully implemented globally.

From 2015 to 2017, 11 maternity management centers in 8 cities in China implemented a comprehensive management plan for T1D female patients from pre-pregnancy to pregnancy.

At the same time, the pregnancy outcomes of this prospective cohort were compared with two control groups with the same inclusion and exclusion criteria: a retrospective cohort (n = 153), consisting of all eligible patients who attended the same management center from 2012 to 2014 A comparison cohort (n = 116) consisting of all eligible T1D pregnant women who received routine care in 11 different centers in 7 cities from 2015 to 2017.

The results showed that the incidence of serious adverse pregnancy outcomes in the prospective cohort was significantly lower than that in the retrospective cohort (6.

Pregnancy outcome of included T1D pregnant women

Specifically, compared with the 2015-2017 comparison cohort, the prospective cohort had lower rates of caesarean section, preeclampsia and large gestational age infants; and compared with the 2012-2014 retrospective cohort, the prospective cohort had lower The incidence of preeclampsia and older gestational age infants is also lower.

Compared with the 2015-2017 comparison cohort, the prospective cohort had lower rates of caesarean section, preeclampsia and large gestational age infants; and compared with the 2012-2014 retrospective cohort, the prospective cohort had lower rates of preeclampsia and The incidence of older gestational age babies is also lower.

It can be seen that the substantial improvement in the prospective cohort proves that the comprehensive management plan has potential clinical significance for the pregnancy outcome of Chinese pregnant women with T1D.

references:

diabetesjournals.

diabetesjournals.
org/content/44/4/883" target="_blank" rel="noopener">Association of Implementation of a Comprehensive Preconception-to-Pregnancy Management Plan With Pregnancy Outcomes Among Chinese Pregnant Women With Type 1 Diabetes: The CARNATION Study.

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