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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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 Posted: Mon Feb 26, 2007 8:01 pm Post subject: CEMACH release: Diabetes and pregnancy |
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CEMACH release: Diabetes and pregnancy – forewarned is forearmed
The Confidential Enquiry into Maternal and Child Health (CEMACH) is due to release its report on "Diabetes in pregnancy" on the 26th February which looks at women with type 1 and 2 diabetes prior to pregnancy.
The RCOG have released a statement saying ...
| RCOG wrote: | Pre-existing diabetes affects approximately 1 in 250 pregnancies in England, Wales and Northern Ireland. It leads to a higher caesarean section rate and is associated with adverse pregnancy outcomes such as higher rates of stillbirth, structural abnormalities in babies including heart and spine defects, and deaths in the first month of life.
In pregnancy, women who have type 2 diabetes are more likely to be older, obese, come from a minority ethnic group and be socially deprived, than women with type 1 diabetes.
The findings of the CEMACH report reveal that women with diabetes do not appear to be receiving enough support from their GPs and the NHS. Preconception care tends to be poor and uncoordinated. Many women do not receive preconception counselling, contraceptive advice and appropriate screening.
Less than half the women in the study took folic acid supplements prior to pregnancy and were not advised about proper glycaemic control, healthy eating and controlling their alcohol intake. There was evidence that the care provided to women with type 2 diabetes was of a lower standard than that provided to women with type 1 diabetes.
The study's recommendations address the need for better clinical care and diabetes management before, during and after pregnancy, easier access to specialist services and advice, mechanisms to identify at-risk groups or individuals, and improved services. |
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Mon Feb 26, 2007 8:03 pm Post subject: |
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Could be an important report leading up to your exam guys 
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Mon Mar 12, 2007 3:39 pm Post subject: |
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And here is the Report
It's quite big (2.4Mb  ) so be patient |
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