Systematic review and meta-analysis of the effectiveness of pre-pregnancy care for women with diabetes for improving maternal and perinatal outcomes.
Hayfaa A WahabiAmel Ahmed FayedSamia EsmaeilHala ElmorshedyMaher A TitiYasser Sami AmerRasmieh A AlzeidanAbdulaziz A AlodhayaniElshazaly SaeedKhawater Hassan BahkaliMelissa K Kahili-HeedeAmr JamalYasser SabrPublished in: PloS one (2020)
PCC for women with pre-gestational type 1 or type 2 diabetes mellitus is effective in improving rates of congenital malformations. In addition, it may improve the risk of preterm delivery and admission to NICU. PCC probably reduces maternal HbA1C in the first trimester of pregnancy, perinatal mortality and SGA. There is uncertainty regarding the effects of PCC on early booking for antenatal care or maternal hypoglycemia during the first trimester of pregnancy. PCC has little or no effect on other maternal and perinatal outcomes.
Keyphrases
- pregnancy outcomes
- pregnant women
- birth weight
- preterm birth
- glycemic control
- gestational age
- type diabetes
- healthcare
- weight gain
- palliative care
- emergency department
- quality improvement
- systematic review
- preterm infants
- cardiovascular events
- low birth weight
- risk factors
- metabolic syndrome
- adipose tissue
- pain management
- skeletal muscle
- chronic pain
- body mass index
- insulin resistance
- weight loss
- health insurance