scholarly journals Pregnancy and neonatal outcomes in Indigenous Australians with diabetes in pregnancy

2015 ◽  
Vol 6 (6) ◽  
pp. 880 ◽  
Author(s):  
Victor Duong
Keyword(s):  
Neonatal Outcomes ◽  
Indigenous Australians ◽  
Diabetes In Pregnancy ◽  
In Pregnancy

scholarly journals Clinical Effectiveness of Different Technologies for Diabetes in Pregnancy: Systematic Literature Review (Preprint)

2020 ◽  
Author(s):  
Claudia Eberle ◽  
Maxine Loehnert ◽  
Stefanie Stichling
Keyword(s):  
Type 2 Diabetes ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Clinical Effectiveness ◽  
Neonatal Outcomes ◽  
Diabetes In Pregnancy ◽  
Pregnancy And Birth ◽  
In Pregnancy

BACKGROUND Hyperglycemia in pregnancy occurs worldwide and is closely associated with health issues in women and their offspring, such as pregnancy and birth complications, respectively, as well as comorbidities, such as metabolic and cardiovascular diseases. To optimize the management of diabetic pregnancies, sustainable strategies are urgently needed. Investigation of constantly evolving technologies for diabetes that help to manage pregnancy and health is required. OBJECTIVE We aimed to conduct a systematic review to assess the clinical effectiveness of technologies for diabetes in pregnancy. METHODS Relevant databases including MEDLINE (PubMed), Cochrane Library, Embase, CINAHL, and Web of Science Core Collection were searched in September 2020 for clinical studies (2008-2020). Findings were organized by type of diabetes, type of technology, and outcomes (glycemic control, pregnancy- and birth-related outcomes, and neonatal outcomes). Study quality was assessed using Effective Public Health Practice Project criteria. RESULTS We identified 15 randomized controlled trials, 3 randomized crossover trials, 2 cohort studies, and 2 controlled clinical trials. Overall, 9 studies focused on type 1 diabetes, 0 studies focused on gestational diabetes, and 3 studies focused on both type 1 diabetes and type 2 diabetes. We found that 9 studies were strong quality, 11 were moderate quality, and 2 were weak quality. Technologies for diabetes seemed to have particularly positive effects on glycemic control in all types of diabetes, shown by some strong and moderate quality studies. Positive trends in pregnancy-related, birth-related, and neonatal outcomes were observed. CONCLUSIONS Technologies have the potential to effectively improve the management of diabetes during pregnancy. Further research on the clinical effectiveness of these technologies is needed, especially in pregnant women with type 2 diabetes.

Neonatal Outcomes in Single Agent vs. Combination Therapy in Management of Maternal Diabetes in Pregnancy [26A]

2019 ◽  
Vol 133 (1) ◽  
pp. 17S-17S
Author(s):  
Claire Scrivani ◽  
Briana Cortez ◽  
Christian Chisholm ◽  
Annelee C. Boyle ◽  
James E. Ferguson ◽  
...  
Keyword(s):  
Combination Therapy ◽  
Single Agent ◽  
Maternal Diabetes ◽  
Neonatal Outcomes ◽  
Diabetes In Pregnancy ◽  
In Pregnancy

scholarly journals Maternal and Fetal Outcomes in Women with Diabetes in Pregnancy Treated before and after the Introduction of a Standardized Multidisciplinary Management Protocol

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Maddalena Morlando ◽  
Fabiana Savoia ◽  
Anna Conte ◽  
Antonio Schiattarella ◽  
Marco La Verde ◽  
...  
Keyword(s):  
Vaginal Delivery ◽  
Induction Of Labor ◽  
Neonatal Outcomes ◽  
Multidisciplinary Management ◽  
Diabetes In Pregnancy ◽  
Pregestational Diabetes ◽  
Management Protocol ◽  
Before And After ◽  
Successful Induction ◽  
In Pregnancy

Background. Diabetes in pregnancy is associated with an increased risk to the woman and to the developing fetus. Currently, there is no consensus on the optimal management strategies for the follow-up and the timing of delivery of pregnancies affected by gestational and pregestational diabetes, with different international guidelines suggesting different management options. Materials and Methods. We conducted a retrospective cohort study from January 2017 to January 2021, to compare maternal and neonatal outcomes of pregnancies complicated by gestational and pregestational diabetes, followed-up and delivered in a third level referral center before and after the introduction of a standardized multidisciplinary management protocol including diagnostic, screening, and management criteria. Results. Of the 131 women included, 55 were managed before the introduction of the multidisciplinary management protocol and included in group 1 (preprotocol), while 76 were managed according to the newly introduced multidisciplinary protocol and included in group 2 (after protocol). We observed an increase in the rates of vaginal delivery, rising from 32.7% to 64.5% (<0.001), and the rate of successful induction of labor improved from 28.6% to 86.2% ( P < 0.001 ). No differences were found in neonatal outcomes, and the only significant difference was demonstrated for the rates of fetal macrosomia (20% versus 5.3%, P : 0.012). Therefore, the improvements observed in the maternal outcomes did not impact negatively on fetal and neonatal outcomes. Conclusion. The introduction of a standardized multidisciplinary management protocol led to an improvement in the rates of vaginal delivery and in the rate of successful induction of labor in our center. A strong cooperation between obstetricians, diabetologists, and neonatologists is crucial to obtain a successful outcome in women with diabetes in pregnancy.

Diabetes in pregnancy may differentially affect neonatal outcomes for twins and singletons

2011 ◽  
Vol 28 (9) ◽  
pp. 1068-1073 ◽  
Author(s):  
Z. C. Luo ◽  
F. Simonet ◽  
S. Q. Wei ◽  
H. Xu ◽  
E. Rey ◽  
...  
Keyword(s):  
Neonatal Outcomes ◽  
Diabetes In Pregnancy ◽  
In Pregnancy

scholarly journals Clinical Effectiveness of Different Technologies for Diabetes in Pregnancy: Systematic Literature Review

10.2196/24982 ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. e24982
Author(s):  
Claudia Eberle ◽  
Maxine Loehnert ◽  
Stefanie Stichling
Keyword(s):  
Type 2 Diabetes ◽  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Clinical Effectiveness ◽  
Neonatal Outcomes ◽  
Diabetes In Pregnancy ◽  
Pregnancy And Birth ◽  
In Pregnancy

Background Hyperglycemia in pregnancy occurs worldwide and is closely associated with health issues in women and their offspring, such as pregnancy and birth complications, respectively, as well as comorbidities, such as metabolic and cardiovascular diseases. To optimize the management of diabetic pregnancies, sustainable strategies are urgently needed. Investigation of constantly evolving technologies for diabetes that help to manage pregnancy and health is required. Objective We aimed to conduct a systematic review to assess the clinical effectiveness of technologies for diabetes in pregnancy. Methods Relevant databases including MEDLINE (PubMed), Cochrane Library, Embase, CINAHL, and Web of Science Core Collection were searched in September 2020 for clinical studies (2008-2020). Findings were organized by type of diabetes, type of technology, and outcomes (glycemic control, pregnancy- and birth-related outcomes, and neonatal outcomes). Study quality was assessed using Effective Public Health Practice Project criteria. Results We identified 15 randomized controlled trials, 3 randomized crossover trials, 2 cohort studies, and 2 controlled clinical trials. Overall, 9 studies focused on type 1 diabetes, 0 studies focused on gestational diabetes, and 3 studies focused on both type 1 diabetes and type 2 diabetes. We found that 9 studies were strong quality, 11 were moderate quality, and 2 were weak quality. Technologies for diabetes seemed to have particularly positive effects on glycemic control in all types of diabetes, shown by some strong and moderate quality studies. Positive trends in pregnancy-related, birth-related, and neonatal outcomes were observed. Conclusions Technologies have the potential to effectively improve the management of diabetes during pregnancy. Further research on the clinical effectiveness of these technologies is needed, especially in pregnant women with type 2 diabetes.

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