TY - JOUR
T1 - Audit on stillbirths in women with pregestational type 1 diabetes
AU - Lauenborg, Jeannet
AU - Mathiesen, Elisabeth
AU - Ovesen, Per
AU - Westergaard, Jes G
AU - Ekbom, Pia
AU - Mølsted-Pedersen, Lars
AU - Damm, Peter
PY - 2003/5
Y1 - 2003/5
N2 - OBJECTIVE: To audit stillbirth cases in women with type 1 diabetes to search for specific characteristics in order to improve antenatal care and treatment.RESEARCH DESIGN AND METHODS: Retrospectively identified cases of stillbirths in women with type 1 diabetes during 1990-2000 were analyzed regarding characteristics of the mother, the pregnancy, glycemic control, and the stillborn. The cause of stillbirth was categorized as explainable, likely, or without obvious cause.RESULTS: We found 22 women with 25 stillbirths among 1,361 singleton births by women with type 1 diabetes. In seven stillbirths the cause was categorized as explainable and in six as likely. In 12 cases no obvious cause was found; however, glycemic control was suboptimal in 9 of these cases. A total of 14 women reported daily smoking, and 10 of 19 with low education were unemployed.CONCLUSIONS: Women experiencing stillbirth were characterized by a high incidence of suboptimal glycemic control, diabetic nephropathy, smoking, and low social status.
AB - OBJECTIVE: To audit stillbirth cases in women with type 1 diabetes to search for specific characteristics in order to improve antenatal care and treatment.RESEARCH DESIGN AND METHODS: Retrospectively identified cases of stillbirths in women with type 1 diabetes during 1990-2000 were analyzed regarding characteristics of the mother, the pregnancy, glycemic control, and the stillborn. The cause of stillbirth was categorized as explainable, likely, or without obvious cause.RESULTS: We found 22 women with 25 stillbirths among 1,361 singleton births by women with type 1 diabetes. In seven stillbirths the cause was categorized as explainable and in six as likely. In 12 cases no obvious cause was found; however, glycemic control was suboptimal in 9 of these cases. A total of 14 women reported daily smoking, and 10 of 19 with low education were unemployed.CONCLUSIONS: Women experiencing stillbirth were characterized by a high incidence of suboptimal glycemic control, diabetic nephropathy, smoking, and low social status.
KW - Diabetes Mellitus, Type 1/blood
KW - Diabetes, Gestational/blood
KW - Female
KW - Glycated Hemoglobin A/analysis
KW - Humans
KW - Infant, Newborn
KW - Medical Audit/methods
KW - Pregnancy
KW - Pregnancy Outcome/epidemiology
KW - Retrospective Studies
U2 - 10.2337/diacare.26.5.1385
DO - 10.2337/diacare.26.5.1385
M3 - Article
C2 - 12716793
SN - 0149-5992
VL - 26
SP - 1385
EP - 1389
JO - Diabetes Care
JF - Diabetes Care
IS - 5
ER -