Type 2 & other diabetes

Interventions to enhance pre‐pregnancy care for women with type 2 diabetes: A systematic review of the literature

Diabet MedPublished Systematic review

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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