Factors associated with stillbirth in women with diabetes.
Birthweight
Epidemiology
Neonatal
Pregnancy
Stillbirth
Type 1 diabetes
Type 2 diabetes
Journal
Diabetologia
ISSN: 1432-0428
Titre abrégé: Diabetologia
Pays: Germany
ID NLM: 0006777
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
16
01
2019
accepted:
20
05
2019
pubmed:
30
7
2019
medline:
2
6
2020
entrez:
30
7
2019
Statut:
ppublish
Résumé
Stillbirth risk is increased in pregnancy complicated by diabetes. Fear of stillbirth has major influence on obstetric management, particularly timing of delivery. We analysed population-level data from Scotland to describe timing of stillbirths in women with diabetes and associated risk factors. A retrospective cohort of singleton deliveries to mothers with type 1 (n = 3778) and type 2 diabetes (n = 1614) from 1 April 1998 to 30 June 2016 was analysed using linked routine care datasets. Maternal and fetal characteristics, HbA Stillbirth rates were 16.1 (95% CI 12.4, 20.8) and 22.9 (95% CI 16.4, 31.8) per 1000 births in women with type 1 (n = 61) and type 2 diabetes (n = 37), respectively. In women with type 1 diabetes, higher HbA Maternal blood glucose levels and BMI are important modifiable risk factors for stillbirth in diabetes. Babies at extremes of weight centiles are at most risk. Many stillbirths occur at term and could potentially be prevented by change in routine care and delivery policies.
Identifiants
pubmed: 31353418
doi: 10.1007/s00125-019-4943-9
pii: 10.1007/s00125-019-4943-9
pmc: PMC6731193
doi:
Substances chimiques
Blood Glucose
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1938-1947Subventions
Organisme : Chief Scientist Office
Pays : United Kingdom
Références
Curr Diab Rep. 2016 Jan;16(1):5
pubmed: 26739347
Diabet Med. 2011 Dec;28(12):1514-9
pubmed: 21883441
Best Pract Res Clin Obstet Gynaecol. 2011 Feb;25(1):105-11
pubmed: 21256813
Diabet Med. 2003 Sep;20(9):734-8
pubmed: 12925053
Lancet. 2011 Apr 16;377(9774):1331-40
pubmed: 21496916
Diabetologia. 2017 Sep;60(9):1668-1677
pubmed: 28597075
Diabetes Care. 2016 Dec;39(12):2111-2117
pubmed: 27879355
Diabetes Care. 2009 Nov;32(11):2005-9
pubmed: 19675195
Diabet Med. 2005 Dec;22(12):1774-7
pubmed: 16401329
Diabetes Care. 2003 May;26(5):1385-9
pubmed: 12716793
BMJ. 2002 Nov 30;325(7375):1275-6
pubmed: 12458245
Diabetologia. 2014 Feb;57(2):285-94
pubmed: 24292565
Diabetes Care. 2014 Jun;37(6):1590-6
pubmed: 24705609
BMJ Open. 2011 May 24;1(1):e000101
pubmed: 22021762
BMJ. 2005 Sep 24;331(7518):662
pubmed: 16115831
Sci Rep. 2017 Oct 2;7(1):12531
pubmed: 28970543
Diabetologia. 2018 May;61(5):1081-1088
pubmed: 29322220
BMJ. 2006 Jul 22;333(7560):177
pubmed: 16782722
Diabet Med. 2014 Sep;31(9):1129-32
pubmed: 24836172
Diabetologia. 2012 Feb 8;:
pubmed: 22314812
Mol Metab. 2018 Sep;15:8-19
pubmed: 29773464
Postgrad Med. 2009 Jul;121(4):26-32
pubmed: 19641265
BMJ. 2013 Jan 24;346:f108
pubmed: 23349424
JAMA. 2014 Apr 16;311(15):1536-46
pubmed: 24737366
AJP Rep. 2016 Jul;6(3):e287-98
pubmed: 27540493
Lancet. 1956 May 5;270(6923):607-10
pubmed: 13320819
Semin Perinatol. 2009 Jun;33(3):130-7
pubmed: 19464502
QJM. 2001 Jul;94(7):347-56
pubmed: 11435630
Obstet Gynecol. 2005 Mar;105(3):675-85
pubmed: 15738045
Ann Epidemiol. 2017 Oct;27(10):638-644.e1
pubmed: 28969875
BMC Pregnancy Childbirth. 2008 Feb 25;8:5
pubmed: 18298810
Diabet Med. 2013 Oct;30(10):1219-24
pubmed: 23815606
Am J Hum Biol. 2010 May-Jun;22(3):330-5
pubmed: 19844898
Diabetes Care. 2001 Oct;24(10):1739-44
pubmed: 11574435
Diabetes Care. 2005 Feb;28(2):323-8
pubmed: 15677787
BMC Med. 2014 Nov 27;12:220
pubmed: 25428603