Diabetes in pregnancy: are we providing the best care ... - HQIP
Diabetes in pregnancy: are we providing the best care ... - HQIP
Diabetes in pregnancy: are we providing the best care ... - HQIP
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Appendix D<br />
Association of social and lifestyle factors with fetal and neonatal death from 20 <strong>we</strong>eks gestation <strong>in</strong> babies of<br />
women with type 1 and type 2 diabetes<br />
Social and lifestyle factor<br />
Cases<br />
n/N (%)<br />
Controls<br />
n/N (%)<br />
Crude OR<br />
[95% CI]<br />
Adjusted OR a<br />
Unplanned <strong>pregnancy</strong> 40/88 (45) 55/144 (38) 1.4 [0.8, 2.3] 1.3 [0.7, 2.4]<br />
No contraceptive use <strong>in</strong> <strong>the</strong> 12<br />
months before <strong>pregnancy</strong><br />
49/72 (68) 54/121 (45) 2.6 [1.4, 5.0] 2.5 [1.3, 4.8]<br />
No folic acid commenced prior to<br />
<strong>pregnancy</strong><br />
48/74 (65) 66/131 (50) 1.8 [1.0, 3.3] 2.0 [1.1, 3.7]<br />
Smok<strong>in</strong>g 43/115 (37) 44/182 (24) 1.9 [0.1, 3.1] 2.1 [1.2, 3.6]<br />
Assessment of suboptimal<br />
approach of <strong>the</strong> woman to<br />
manag<strong>in</strong>g her diabetes before<br />
<strong>pregnancy</strong><br />
83/98 (85) 88/154 (57) 4.2 [2.1, 8.1] 4.7 [2.3, 9.3]<br />
Assessment of suboptimal<br />
approach of <strong>the</strong> woman to<br />
manag<strong>in</strong>g her diabetes dur<strong>in</strong>g<br />
<strong>pregnancy</strong><br />
a<br />
adjusted for maternal age and deprivation.<br />
76/124 (61) 56/207 (27) 4.3 [2.6, 7.1] 3.9 [2.4, 6.5]<br />
Association of glycaemic control factors with fetal and neonatal death from 20 <strong>we</strong>eks gestation <strong>in</strong> babies of women<br />
with type 1 and type 2 diabetes<br />
Glycaemic control factor<br />
No test of glycaemic control<br />
before <strong>pregnancy</strong><br />
No local targets set for<br />
glycaemic control<br />
Assessment of suboptimal<br />
preconception glycaemic<br />
control<br />
Assessment of suboptimal 1st<br />
trimester glycaemic control<br />
Assessment of suboptimal<br />
glycaemic control after 1st<br />
trimester<br />
Assessment of suboptimal<br />
blood glucose control dur<strong>in</strong>g<br />
labour and delivery<br />
No <strong>in</strong>travenous <strong>in</strong>sul<strong>in</strong> and<br />
dextrose dur<strong>in</strong>g labour and/or<br />
delivery<br />
a<br />
adjusted for maternal age and deprivation.<br />
Cases<br />
n/N (%)<br />
Controls<br />
n/N (%)<br />
Crude OR<br />
[95% CI]<br />
Adjusted OR a<br />
25/90 (28) 24/139 (17) 1.8 [1.0, 3.5] 1.8 [0.9, 3.4]<br />
31/61 (51) 28/86 (33) 2.1 [1.1, 4.3] 2.1 [1.0, 4.4]<br />
103/115 (90) 115/167 (69) 3.9 [1.9, 7.9] 4.3 [2.1, 8.7]<br />
109/129 (85) 118/192 (61) 3.4 [1.9, 6.1] 3.4 [1.9, 6.1]<br />
96/133 (72) 76/209 (37) 4.5 [2.7, 7.5] 5.0 [3.0, 8.4]<br />
47/101 (47) 94/202 (47) 1.0 [0.6, 1.6] 1.1 [0.7, 1.8]<br />
31/133 (26) 31/127 (14) 2.1 [1.2, 3.6] 2.0 [1.2, 3.6]<br />
126