Gestational diabetes & diabetes in pregnancy

Determinants of progression of diabetic retinopathy in pregnancy

Diabetes Res Clin PractPublished Cohort study

Main finding · DR progressionResult — go to the resultOdds ratio 9.88 CI 4.43–22.07

Authors' conclusion

Women without DR at baseline are unlikely to progress to more severe forms of DR and usually do not require treatment. The presence of DR at baseline screening during pregnancy is a strong predictor of DR progression during pregnancy.

Study context

Population
Pregnancies of women with type 1 or 2 DM, King Edward Memorial Hospital, Western Australia, June 2020–July 2023; Diabetic retinopathy (DR) screening by retinal imaging in first trimester and/or at 28–32 weeks gestation
Participants
367 pregnancies
Exposure
Baseline DR vs no baseline DR
  • Baseline DRn = 121
Outcome
DR progression in pregnancy
Methodological detailssingle-centre
  • Single-centre

Main finding

DR progression

Odds ratio

9.88

CI 4.43–22.07

P < 0.001

Events by group

Baseline DRvs No baseline DR
OR 9.88 (CI 4.43–22.07); P < 0.001

As reported in the abstract

DR progression, all pregnancies
62 (17 %)

Observational data: associations, not effects.

Further findings

DR at baseline

Pregnancies with DR at baseline
121 (33 %)

Severity of new DR in women without baseline DR

Progressed to more than moderate non-proliferative DR
0

Original publication

Determinants of progression of diabetic retinopathy in pregnancy. Diabetes Res Clin Pract. Published 14 July 2024. doi:10.1016/j.diabres.2024.111784

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