624: Diabetes in pregnancy: does type of prenatal care provider affect pregnancy outcomes?

Abstract

worse in out-of-hospital deliveries, though it was difficult to assess outcomes due to the small population in this group. Outcomes were similar between the GDM and DM group. In the GDM group, neonates were significantly more likely to have Apgars <7 at 5 minutes and transfusions (Apgar 0.13% hospital v 3.21% home, transport 0.87% v 2.71%, both p<0.001). Only Apgars <7 at 5 minutes reached statistical significance in the DM group (0.15% hospital v 3.70% home, p<0.001). As expected, CS was significantly higher in the hospital group (GDM 38.82% hospital v 0.17% home, DM 54.70% hospital v 0% home, both p<0.001). No other maternal outcomes reached statistical significance. CONCLUSION: Diabetic women delivering in hospital were significantly more likely to receive appropriate CS. Neonatal outcomes including Apgar <7 at 5 minutes and neonatal transfusion were improved in the hospital setting. No difference in neonatal or maternal outcomes was noted between GDM and DM groups. Further research is warranted to investigate improved education strategies for women about these high-risk deliveries at birth centers or at home.