کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3907916 | 1251090 | 2011 | 12 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Preconception care for women with diabetes: is it effective and who should provide it? Preconception care for women with diabetes: is it effective and who should provide it?](/preview/png/3907916.png)
The association between hyperglycaemia and congenital malformations was first recognised over 40 years ago and was followed by the development of preconception clinics for women with diabetes. A fresh look at preconception care is needed as many studies were conducted during the late 1970s and early 1980s, before the introduction of regular home blood glucose monitoring and glycosylated haemoglobin assays, and when many patients with diabetes had microvascular complications. Recent observational studies and a meta-analysis suggest preconception care is effective with an approximately threefold reduction in the risk of malformations. There is now a worldwide epidemic of type 2 diabetes, but only few studies of preconception care have included women with type 2 diabetes. Furthermore, few studies have addressed the relationship between preconception care and perinatal morbidity. This article will review the evidence for preconception care in women with diabetes, evaluate different models of preconception care and discuss future strategies.
Journal: Best Practice & Research Clinical Obstetrics & Gynaecology - Volume 25, Issue 1, February 2011, Pages 3–14