Interventions to enhance pre‐pregnancy care for women with type 2 diabetes: A systematic review of the literature
Authors' conclusion
This review demonstrates that previous interventions have had a limited impact on pre-pregnancy care uptake in women with type 2 diabetes. Future studies should focus on tailored interventions for improving pre-pregnancy care for women with type 2 diabetes, particularly those from ethnic minorities and living in poorer communities.
Study context
- Population
- Women with T2D in cohort studies of interventions to enhance pre-pregnancy care; women with T2D were the minority (35%-40%) in all studies
- Participants
- 800 women4 cohort studies
- Comparison
- Interventions to enhance pre-pregnancy care in women with T2D
- Outcome
- Uptake of pre-pregnancy care, and impact on maternal and fetal outcomes
Methodological detailsnarrative synthesis, None of the interventions were exclusively tailored for women with T2D; meta-analysis not possible due to heterogeneity
- Narrative synthesis
- None of the interventions were exclusively tailored for women with T2D; meta-analysis not possible due to heterogeneity
Pooled result
As reported in the abstract
Uptake of pre-pregnancy care
Uptake of pre-pregnancy care in women with T2D, lower than in other participant groups
8%-10%
Further pooled results
- Pregnancy preparation indicators generally improved among all groups exposed to pre-pregnancy care, with varying impact on pregnancy outcomes
Original publication
Interventions to enhance pre‐pregnancy care for women with type 2 diabetes: A systematic review of the literature. Diabet Med. Published 8 May 2023. doi:10. 1111/ dme. 15105
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