Gestational diabetes & diabetes in pregnancy
Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review
Authors' conclusion
This review highlights the ongoing problem of poor attendance at PPC and identifies key barriers to be addressed when developing and implementing PPC programs for women with type 1 diabetes.
Study context
- Population
- Studies evaluating attendance at pre-pregnancy care (PPC) for women with T1D
- Outcome
- Barriers to PPC attendance among women with T1D
Methodological detailsfive databases searched, English-language studies 2000–2022, includes grey/unpublished literature
- Five databases searched
- English-language studies 2000–2022
- Includes grey/unpublished literature
Main finding
As reported in the abstract
Barriers to PPC attendance
- Multiple barriers to PPC attendance, many unchanged since the 1990s
- Barriers grouped as patient-centered and clinician-centered
- Patient factors: knowledge and awareness, unplanned pregnancies, negative perceptions of healthcare and communication issues, unclear attendance pathways, logistical issues (time off work, childcare)
- Clinician factors: physician knowledge, time constraints, lack of comfort discussing pregnancy/contraception
Original publication
Attendance at pre‐pregnancy care clinics for women with type 1 diabetes: A scoping review. Diabet Med. Published 28 November 2022. doi:10.
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