Journal article
Association of Implementation of a Comprehensive Preconception-to-Pregnancy Management Plan With Pregnancy Outcomes Among Chinese Pregnant Women With Type 1 Diabetes : The CARNATION Study
Diabetes care, Vol.44(4), pp.883-892
2021
DOI: 10.2337/dc20-2692
PMCID: PMC7985418
PMID: 33627365
Abstract
OBJECTIVE: To investigate the effect on pregnancy outcome of integrating a comprehensive management plan for patients with type 1 diabetes (T1D) into the World Health Organization universal maternal care infrastructure. RESEARCH DESIGN AND METHODS: A comprehensive preconception-to-pregnancy management plan for women with T1D was implemented in 11 centers from 8 Chinese cities from 2015 to 2017. Sequential eligible pregnant women (n = 133 out of 137 initially enrolled) with T1D and singleton pregnancies attending these management centers formed the prospective cohort. The main outcome was severe adverse pregnancy outcome comprising maternal mortality, neonatal death, congenital malformations, miscarriage in the second trimester, and stillbirth. We compared pregnancy outcomes in this prospective cohort with two control groups with the same inclusion and exclusion criteria: a retrospective cohort (n = 153) of all eligible pregnant women with T1D attending the same management centers from 2012 to 2014 and a comparison cohort (n = 116) of all eligible pregnant women with T1D receiving routine care from 2015 to 2017 in 11 different centers from 7 cities. RESULTS: The rate of severe adverse pregnancy outcome was lower in the prospective cohort (6.02%) than in either the retrospective cohort (18.30%; adjusted odds ratio [aOR] 0.31 [95% CI 0.13-0.74]) or the contemporaneous comparison cohort (25.00%; aOR 0.22 [95% CI 0.09-0.52]). CONCLUSIONS: The substantial improvements in the prospective cohort are evidence of a potentially clinically important effect of the comprehensive management plan on pregnancy outcomes among Chinese pregnant women with pregestational T1D. This supports the development of similar approaches in other countries.
Details
- Title: Subtitle
- Association of Implementation of a Comprehensive Preconception-to-Pregnancy Management Plan With Pregnancy Outcomes Among Chinese Pregnant Women With Type 1 Diabetes : The CARNATION Study
- Creators
- Xueying Zheng - University of Science and Technology of ChinaDaizhi Yang - Third Affiliated Hospital of Sun Yat-sen UniversitySihui Luo - University of Science and Technology of ChinaJinhua Yan - Third Affiliated Hospital of Sun Yat‐sen UniversityXiaohui Guo - Peking University First HospitalHuixia Yang - Peking University First HospitalWei Bao - University of IowaLeif Groop - Lund UniversityAnne Dornhorst - Imperial College LondonJianping Weng - Third Affiliated Hospital of Sun Yat-sen UniversityCARNATION Study Group
- Resource Type
- Journal article
- Publication Details
- Diabetes care, Vol.44(4), pp.883-892
- DOI
- 10.2337/dc20-2692
- PMID
- 33627365
- PMCID
- PMC7985418
- ISSN
- 1935-5548
- eISSN
- 1935-5548
- Grant note
- DOI: 10.13039/501100012166, name: National Key R&D Program of China, award: 2017YFC1309600; name: National Foundation for Public Welfare Industry Research, award: 201502011; DOI: 10.13039/501100018939, name: World Diabetes Foundation, award: WDF14-921
- Language
- English
- Date published
- 2021
- Academic Unit
- Epidemiology
- Record Identifier
- 9984364555802771
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