Documented contraceptive use after delivery in women with pre-gestational and gestational diabetes in Thailand: a single center study

Winaitammakul, Raksina; Jirakittidul, Preeyaporn; Pingkul, Nichamon

doi:10.1007/s13340-022-00586-x

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…To the best of our knowledge, very few publications have focused on reproductive health care among women with DM in Thailand [15]. The strengths of this study are as follows.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, they tend to receive less guidance on long-acting reversible contraception (LARC) initiation, despite medical societies recommending the safety of LARC use among women with DM [7,8,14]. Although there is an increasing trend of DM among Thai women, few studies have investigated preconception care and contraceptive prevalence in this population [15]. Accordingly, we aimed to explore the knowledge, attitudes, and practices regarding perception planning among Thai women of reproductive age.…”

Section: Introductionmentioning

confidence: 99%

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Reproductive care in Thai women with diabetes mellitus: A descriptive cross-sectional study

Pothongsangarun,

Li,

Naeowong

et al. 2023

Preprint

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Background Pre-existing diabetes mellitus (DM) is a challenging pregnancy complication as poor glycemic control is associated with adverse maternal and fetal outcomes. In this study, we aimed to investigate DM-related knowledge, attitudes, preconception care practices, and contraceptive prevalence in women with DM. Methods This descriptive cross-sectional survey was conducted among reproductive-aged Thai women receiving DM treatment at King Chulalongkorn Memorial Hospital between August 1, 2021, and June 30, 2022. Patients with DM who were not pregnant or trying to conceive and could be contacted via the phone were included and a validated self-administered questionnaire was distributed electronically. Results A total of 238 participants were included in the final analysis, yielding 69.4% response rates. The median (interquartile range [IQR]) score for knowledge of pregnancy planning and pregnancy-related risks was 6.0 (3.4) out of 15. Only about half of the participants had discussed pregnancy planning with their physicians. Multivariable analysis showed that younger age at DM diagnosis, married, higher education, and medical personnel were significantly associated with higher knowledge scores. Women aged > 45 and those with higher practice scores had significantly higher adjusted odds of using highly effective contraception; the most common methods included male condoms and combined oral contraceptive pills. There was an unmet need for contraception in 9.5% of women with DM. Conclusions Although highly effective contraception is safe for patients with DM, only about half of our participants used tier one or two contraceptives or had received consultation regarding preconception planning. There was a notable gap in care coordination among specialists; integrating reproductive healthcare into DM therapy would improve access to preconception care.

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“…To the best of our knowledge, very few publications have focused on reproductive health care among women with DM in Thailand [15]. The strengths of this study are as follows.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reproductive care in Thai women with diabetes mellitus: A descriptive cross-sectional study

Pothongsangarun,

Li,

Naeowong

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Reproductive care in Thai women with diabetes mellitus: a descriptive cross-sectional study

Pothongsangarun,

Li,

Naeowong

et al. 2023

Reprod Health

View full text Add to dashboard Cite

Background Pre-existing diabetes mellitus (DM) is a challenging pregnancy complication as poor glycemic control is associated with adverse maternal and fetal outcomes. In this study, we aimed to investigate DM-related knowledge, attitudes, preconception care practices, and contraceptive prevalence in women with DM. Methods This descriptive cross-sectional survey was conducted among reproductive-aged Thai women receiving DM treatment at King Chulalongkorn Memorial Hospital between August 1, 2021, and June 30, 2022. Patients with DM who were not pregnant or trying to conceive and could be contacted via the phone were included and a validated self-administered questionnaire was distributed electronically. Results A total of 238 participants were included in the final analysis, yielding 69.4% response rates. The mean (standard deviation) score for knowledge of pregnancy planning and pregnancy-related risks was 6.8 (3.5) out of 15. Only about half of the participants had discussed pregnancy planning with their physicians. Multivariable analysis showed that younger age at DM diagnosis, non-Buddhism, married, higher education, and medical personnel were significantly associated with higher knowledge scores. Women aged > 45 years and those with higher practice scores had significantly higher adjusted odds of using highly effective contraception; the most common methods included male condoms and combined oral contraceptive pills. There was an unmet need for contraception in 9.5% of women with DM. Conclusions Although highly effective contraception is safe for patients with DM, only about half of our participants used tier one or two contraceptives or had received consultation regarding preconception planning. There was a notable gap in care coordination among specialists; integrating reproductive healthcare into DM therapy would improve access to preconception care.

show abstract

Documented contraceptive use after delivery in women with pre-gestational and gestational diabetes in Thailand: a single center study

Cited by 2 publications

References 16 publications

Reproductive care in Thai women with diabetes mellitus: A descriptive cross-sectional study

Reproductive care in Thai women with diabetes mellitus: A descriptive cross-sectional study

Reproductive care in Thai women with diabetes mellitus: a descriptive cross-sectional study

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