Flynn, Angela C;
Robertson, Michelle;
Kavanagh, Kimberley;
Murphy, Helen R;
Forde, Rita;
Stephenson, Judith;
Poston, Lucilla;
(2023)
Pre-pregnancy Health of Women with Pre-existing Diabetes or Previous Gestational Diabetes; analysis of pregnancy risk factors and behavioural data from a digital tool.
Diabetic Medicine
, 40
(2)
, Article e15008. 10.1111/dme.15008.
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Abstract
AIMS: To examine health behaviours and risk factors in women with pre-existing diabetes or previous gestational diabetes mellitus who are planning pregnancy. METHODS: Health behaviour, risk factor and demographic data obtained from a digital pregnancy planning advisory tool (Tommy's charity UK) were analysed. Descriptive statistical analysis was performed, stratified by diabetes type. RESULTS: Data from 84,359 women, including 668 with type 1 diabetes, 707 with type 2 diabetes, and 1,785 with previous gestational diabetes obtained over a 12-month period (September 2019-September 2020) were analysed. 65%, 95%CI (61,68%) of women with type 2 diabetes and 46%, 95%CI (43,48%) with previous gestational diabetes were obese (BMI ≥30kg/m2 ), compared with 26%, 95%CI (26,26%) without diabetes. Use of folic acid supplements was low; 41%, 95%CI (40,41%) of women without diabetes and 42%, 95%CI (40,45%) with previous gestational diabetes reported taking folic acid (any dose) while 47%, 95%CI (43,50%) women with type 1 diabetes and 44%, 95%CI (40,47%) women with type 2 diabetes respectively reported taking the recommended dose (5mg). More women with type 1 diabetes and type 2 diabetes reported smoking (20%, 95%CI (17,23%) and 23%, 95%CI (20,26%) respectively) and taking illicit/recreational drugs (7%, 95%CI (6,10%) and 9%, 95% CI (7,11%)) compared to women without diabetes (smoking 17%, 95% CI (16,17%), drug use 5%, 95%CI (5,5%)). Alcohol consumption, low levels of physical activity and of fruit and vegetable intake were also evident. CONCLUSIONS: This study highlights the potential of online pregnancy planning advisory tools to reach high-risk women and emphasises the need to improve pre-pregnancy care for women with pre-existing diabetes and previous gestational diabetes, many of whom are actively seeking advice. It is also the first to describe pre-pregnancy health behaviours in women with previous gestational diabetes.
| Type: | Article |
|---|---|
| Title: | Pre-pregnancy Health of Women with Pre-existing Diabetes or Previous Gestational Diabetes; analysis of pregnancy risk factors and behavioural data from a digital tool |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/dme.15008 |
| Publisher version: | https://doi.org/10.1111/dme.15008 |
| Language: | English |
| Additional information: | Copyright © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution-Non Commercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
| Keywords: | Pre-pregnancy, gestational diabetes mellitus, planning for pregnancy, type 1 diabetes, type 2 diabetes |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10160304 |
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