University Hospital Galway, Galway, Republic of Ireland.
South Tipperary General Hospital, Clonmel, Republic of Ireland.
Diabet Med. 2020 Dec;37(12):2044-2049. doi: 10.1111/dme.13923. Epub 2019 Feb 28.
The purpose of this study was to identify the number of pregnancies affected by pre-gestational diabetes in the Republic of Ireland; to report on pregnancy outcomes and to identify areas for improvement in care delivery and clinical outcomes.
Healthcare professionals caring for women with pre-gestational diabetes during pregnancy were invited to participate in this retrospective study. Data pertaining to 185 pregnancies in women attending 15 antenatal centres nationally were collected and analysed. Included pregnancies had an estimated date of delivery between 1 January and 31 December 2015.
The cohort consisted of 122 (65.9%) women with Type 1 diabetes and 56 (30.3%) women with Type 2 diabetes. The remaining 7 (3.8%) pregnancies were to women with maturity-onset diabetes of the young (MODY) (n = 6) and post-transplant diabetes (n = 1). Overall women were poorly prepared for pregnancy and lapses in specific areas of service delivery including pre-pregnancy care and retinal screening were identified. The majority of pregnancies 156 (84.3%) resulted in a live birth. A total of 103 (65.5%) women had a caesarean delivery and 58 (36.9%) infants were large for gestational age.
This audit identifies clear areas for improvement in delivery of care for women with diabetes in the Republic of Ireland before and during pregnancy.
本研究旨在确定爱尔兰共和国受孕前糖尿病影响的妊娠数量；报告妊娠结局，并确定改善护理提供和临床结局的领域。
邀请在怀孕期间照顾患有孕前糖尿病的女性的医疗保健专业人员参与这项回顾性研究。收集和分析了全国 15 个产前中心的 185 例女性的妊娠数据。包括估计的分娩日期在 2015 年 1 月 1 日至 12 月 31 日之间的妊娠。
该队列包括 122 名（65.9%）1 型糖尿病女性和 56 名（30.3%）2 型糖尿病女性。其余 7 例（3.8%）妊娠为青少年发病的成年型糖尿病（MODY）（n=6）和移植后糖尿病（n=1）。总体而言，女性对妊娠准备不足，在包括孕前护理和视网膜筛查在内的特定服务提供领域存在疏漏。大多数妊娠 156 例（84.3%）导致活产。共有 103 名（65.5%）女性行剖宫产术，58 名（36.9%）婴儿为巨大儿。
这项审计确定了爱尔兰共和国在妊娠前和妊娠期间为糖尿病女性提供护理方面需要改进的明确领域。
