title: Pregnancy in women with Type 1 and Type 2 diabetes in Dublin.
abstract: BACKGROUND
  The Confidential Enquiry into Maternal and Child Health (CEMACH) reported outcomes of pregnancies in women with pre-gestational diabetes (PGDM) in the UK (n = 3,733). This study aimed to compare CEMACH outcomes with PGDM pregnancies in Dublin.
  
  
  METHODS
  Retrospective chart review of all PGDM pregnancies. Comparison to CEMACH are shown in brackets.
  
  
  RESULTS
  One hundred and ten PGDM women delivered in Dublin. Thirty (27%) had T2 diabetes (vs. 27%). Fifty-nine (53%) women had a booking HbA1c less than 7% (vs. 66%). Nineteen women (17.3%) had a first trimester miscarriage (vs. 8.5%). Of the 91 remaining women, 71 (78%) women underwent induction of labour (vs. 38.9%). Fifty-four women (59.3%) were delivered by caesarean section (vs. 67.4%). Two infants (2.1%) were macrosomic (vs. 5.7%). There was one intrauterine death (0.1 vs. 0.6%) and no maternal deaths (vs. five).
  
  
  CONCLUSIONS
  These results serve to underline the continued importance of multidisciplinary care for pregnant women with diabetes.
authors.affiliation: University College Dublin, National Maternity Hospital, Holles Street, Dublin 2, Ireland. mary.higgins@ucd.ie
authors.forename: M
authors.initials: M
authors.lastname: Higgins
authors.forename: D
authors.initials: D
authors.lastname: Galvin
authors.forename: F
authors.initials: F
authors.lastname: McAuliffe
authors.forename: M
authors.initials: M
authors.lastname: Coffey
authors.forename: R
authors.initials: R
authors.lastname: Firth
authors.forename: S
authors.initials: S
authors.lastname: Daly
authors.forename: E
authors.initials: E
authors.lastname: Coleman
authors.forename: B
authors.initials: B
authors.lastname: Kinsley
authors.forename: M
authors.initials: M
authors.lastname: Geary
authors.forename: M
authors.initials: M
authors.lastname: Byrne
authors.forename: S
authors.initials: S
authors.lastname: Coulter-Smyth
authors.forename: M
authors.initials: M
authors.lastname: Foley
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology; D002585:Cesarean Section; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D005320:Fetal Macrosomia / Q000453:epidemiology; D046689:Fetal Mortality; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D007751:Labor, Induced; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics; D047928:Premature Birth; D011295:Prenatal Care; D012189:Retrospective Studies
chemical_list: D006442:Glycated Hemoglobin