2017
DOI: 10.3310/hta21140
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Preconception care for women with type 1 or type 2 diabetes mellitus: a mixed-methods study exploring uptake of preconception care

Abstract: BackgroundDiabetes mellitus is a global health problem and one of the most common medical conditions in pregnancy. A wide range of modifiable risk factors are associated with diabetes mellitus in pregnancy, and it is widely acknowledged that preconception care (PCC) is beneficial for women with pre-existing diabetes mellitus. However, uptake of PCC services is low.ObjectivesTo systematically review qualitative research on PCC for women with pre-existing diabetes mellitus of childbearing age, identify facilitat… Show more

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Cited by 19 publications
(52 citation statements)
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“…Relationship between women and educators should be based on a partnership approach that encourages mutual trust and respect [17]. More attention should be paid to the fact that patients' perception of diabetes during pregnancy and their expectations regarding preconception care may significantly differ [18].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Relationship between women and educators should be based on a partnership approach that encourages mutual trust and respect [17]. More attention should be paid to the fact that patients' perception of diabetes during pregnancy and their expectations regarding preconception care may significantly differ [18].…”
Section: Discussionmentioning
confidence: 99%
“…Adolescents should be encouraged to choose a person on the team with whom they feel the most comfortable [15]. It is pivotal to clarify who is responsible for the delivery of preconception care to women with pregestational diabetes [17]. In one of the studies, assessing pregnant women's knowledge upon diabetes, the role of family doctors in education was emphasized.…”
Section: Discussionmentioning
confidence: 99%
“…2,3 Because of the potential implications of transplacental passage of oral glucose-lowering agents for the developing fetus, and because of the long-standing experience and efficacy of insulin during pregnancy, insulin is generally recommended as the first-choice treatment during pregnancy to achieve good glycaemic control. 2,3 Because of the potential implications of transplacental passage of oral glucose-lowering agents for the developing fetus, and because of the long-standing experience and efficacy of insulin during pregnancy, insulin is generally recommended as the first-choice treatment during pregnancy to achieve good glycaemic control.…”
Section: Funding Information K B Is the Recipient Of A Clinical Docmentioning
confidence: 99%
“…2,3 Because of the potential implications of transplacental passage of oral glucose-lowering agents for the developing fetus, and because of the long-standing experience and efficacy of insulin during pregnancy, insulin is generally recommended as the first-choice treatment during pregnancy to achieve good glycaemic control. The clinician is left with the dilemma of deciding between discontinuation of a novel agent that is providing excellent glycaemic control, while switching to other agents may cause deterioration of glycaemia, and continued use of novel agents that may have uncertain effects on the unborn child.…”
mentioning
confidence: 99%
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