Diabetic Retinopathy in Pregnancy: A Population-Based Study of Women with Pregestational Diabetes
Joint Authors
Egan, Aoife M.
McVicker, Lyle
Heerey, Adrienne
Carmody, Louise
Harney, Fiona
Dunne, F.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The aim of this observational study was to evaluate screening and progression of diabetic retinopathy during pregnancy in women with pregestational diabetes attending five antenatal centres along the Irish Atlantic seaboard.
An adequate frequency of screening was defined as at least two retinal evaluations in separate trimesters.
Progression was defined as at least one stage of deterioration of diabetic retinopathy and/or development of diabetic macular edema on at least one eye.
Women with pregestational diabetes who delivered after 22 gestational weeks ( n = 307 ) were included.
In total, 185 (60.3%) had an adequate number of retinal examinations.
Attendance at prepregnancy care was associated with receiving adequate screening (odds ratio 6.23; CI 3.39–11.46 ( P < 0.001 )).
Among those who received adequate evaluations ( n = 185 ), 48 (25.9%) had retinopathy progression.
Increasing booking systolic blood pressure (OR 1.03, CI 1.01–1.06, P = 0.02 ) and greater drop in HbA1c between first and third trimesters of pregnancy (OR 2.05, CI 1.09–3.87, P = 0.03 ) significantly increased the odds of progression.
A significant proportion of women continue to demonstrate retinopathy progression during pregnancy.
This study highlights the role of prepregnancy care and the importance of close monitoring during pregnancy and identifies those patients at the highest risk for retinopathy progression.
American Psychological Association (APA)
Egan, Aoife M.& McVicker, Lyle& Heerey, Adrienne& Carmody, Louise& Harney, Fiona& Dunne, F.. 2015. Diabetic Retinopathy in Pregnancy: A Population-Based Study of Women with Pregestational Diabetes. Journal of Diabetes Research،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067876
Modern Language Association (MLA)
Egan, Aoife M.…[et al.]. Diabetic Retinopathy in Pregnancy: A Population-Based Study of Women with Pregestational Diabetes. Journal of Diabetes Research No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1067876
American Medical Association (AMA)
Egan, Aoife M.& McVicker, Lyle& Heerey, Adrienne& Carmody, Louise& Harney, Fiona& Dunne, F.. Diabetic Retinopathy in Pregnancy: A Population-Based Study of Women with Pregestational Diabetes. Journal of Diabetes Research. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067876
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1067876