Becoming pregnant: exploring the perspectives of women living with diabetes

Abstract

The risk of adverse pregnancy outcome for women with type 1 diabetes is reduced through tight diabetes control. Most women enter pregnancy with inadequate blood glucose control. Interview studies with women suggest the concept of 'planned' and 'unplanned' pregnancies is unhelpful.

Preconception care for women with type 1 or type 2 diabetes mellitus: a mixed-methods study exploring uptake of preconception care

“…The full citations of the studies that were excluded from the review are given in Appendix 3. Of the 18 studies that were included (which are described in detail in Table 2), 13 [26][27][28][30][31][32][33][34]37,38,40,42,43 addressed the experiences and perceptions of women only, four 29,35,36,39 addressed the experiences and perceptions of healthcare practitioners only and one study 41 addressed the experiences and perceptions of women and practitioners. It is of note that there are relatively few studies that have explored the views of practitioners responsible for providing care to women with diabetes mellitus in pregnancy.…”

“…It is of note that there are relatively few studies that have explored the views of practitioners responsible for providing care to women with diabetes mellitus in pregnancy. The largest majority of studies (n = 9) 30,33,34,36,37,[40][41][42][43] were based in a UK context, six [27][28][29]31,35,39 were based in the USA and one study each was based in Australia, 32 Ireland 38 and Sweden. 26 The study based in Australia 32 is distinct because it focused specifically on the experiences of women living in rural and relatively isolated communities.…”

“…26 The study based in Australia 32 is distinct because it focused specifically on the experiences of women living in rural and relatively isolated communities. Of the 14 studies that addressed the experiences or perceptions of women, eight 27,28,31,33,37,38,41,42 included both women with T1DM and those with T2DM and six 26,30,32,34,40,43 included only women with T1DM. There were no studies that focused solely on the experiences of women with T2DM.…”

“…39 Participants were predominantly recruited from secondary care but some studies reported use of other settings. Twelve studies 26,30,31,33,34,[36][37][38][40][41][42][43] were located in secondary care and only one 36 in both primary and secondary care. The study that recruited from primary care did so in order to recruit general practitioners (GPs) to the study.…”

Safe Use of Drugs During Pregnancy in Focus of International Practice of Pharmacovigilance System and Teratological Information Service Organization

“…Продемонстрировано, что врачебная консультация по поводу применения кон-трацептивов может способствовать увеличению знаний женщин о связанных с беременностью рисках, изменяя их поведение и уменьшая экспозицию тератогенами во время беременности [34,35]. Однако, в ряде работ это не нашло подтверждения для улучшения исходов беременности [36,37]. Таким образом, первым шагом к предотвращению нежелательных исходов беремен-ности должно стать установление контакта между паци-ентом и врачом в ходе беременности, а также знания о риске ЛС, индуцирующих врожденные дефекты.…”