Evidence map›Paper›PMID 29744539›Full record

ArticleDiabetologia2018

Community-based pre-pregnancy care programme improves pregnancy preparation in women with pregestational diabetes.

Jennifer M Yamamoto, Deborah J F Hughes, Mark L Evans, Vithian Karunakaran, John D A Clark, Nicholas J Morrish, Gerry A Rayman, Peter H Winocour, Clare Hambling, Amanda W Harries and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Diabetologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Attendance at pre-pregnancy care clinics for women with type 1 diabetes: A scoping review.Diabetic medicine : a journal of the British Diabetic Association · 2023
    Article
  10. Article
  11. Hyperglycemia in Pregnancy and Women's Health in the 21st Century.International journal of environmental research and public health · 2022
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Jennifer M YamamotoDepartment of Medicine, Division of Endocrinology and Metabolism, University of Calgary, Calgary, Canada.
Deborah J F HughesWolfson Diabetes and Endocrine Clinic, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Mark L EvansWolfson Diabetes and Endocrine Clinic, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Vithian KarunakaranNorth East Essex Diabetes Service (NEEDS), Colchester Hospital University NHS Foundation Trust, Colchester, UK.
John D A ClarkDepartment of Diabetes and Endocrinology, West Suffolk Hospital NHS Trust, Bury St Edmunds, UK.
Nicholas J MorrishDepartment of Diabetes and Endocrinology, Bedford Hospital NHS Trust, Bedford, UK.
Gerry A RaymanThe Ipswich Diabetes Centre, Ipswich Hospitals NHS Trust, Ipswich, UK.
Peter H WinocourEast and North Herts Institute of Diabetes and Endocrinology (ENHIDE), East and North Hertfordshire NHS Trust, Stevenage, UK.
Clare HamblingDepartment of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Amanda W HarriesDepartment of Diabetes and Endocrinology, Norfolk and Norwich University Hospital, Norwich, UK.
Michael J SampsonDepartment of Diabetes and Endocrinology, Norfolk and Norwich University Hospital, Norwich, UK.
Helen R MurphyWolfson Diabetes and Endocrine Clinic, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. helen.murphy@uea.ac.uk.

Funding

Department of Health CDF-2013-06-035Medical Research CouncilWellcome Trust
6 · The paper itself

Abstract

aims/hypothesisWomen with diabetes remain at increased risk of adverse pregnancy outcomes associated with poor pregnancy preparation. However, women with type 2 diabetes are less aware of and less likely to access pre-pregnancy care (PPC) compared with women with type 1 diabetes. We developed and evaluated a community-based PPC programme with the aim of improving pregnancy preparation in all women with pregestational diabetes.

methodsThis was a prospective cohort study comparing pregnancy preparation measures before and during/after the PPC intervention in women with pre-existing diabetes from 1 June 2013 to 28 February 2017. The setting was 422 primary care practices and ten National Health Service specialist antenatal diabetes clinics. A multifaceted approach was taken to engage women with diabetes and community healthcare teams. This included identifying and sending PPC information leaflets to all eligible women, electronic preconception care templates, online education modules and resources, and regional meetings and educational events. Key outcomes were preconception folic acid supplementation, maternal HbA

resultsA total of 306 (73%) primary care practices actively participated in the PPC programme. Primary care databases were used to identify 5075 women with diabetes aged 18-45 years. PPC leaflets were provided to 4558 (89.8%) eligible women. There were 842 consecutive pregnancies in women with diabetes: 502 before and 340 during/after the PPC intervention. During/after the PPC intervention, pregnant women with type 2 diabetes were more likely to achieve target HbA CONCLUSIONS/

interpretationA pragmatic community-based PPC programme was associated with clinically relevant improvements in pregnancy preparation in women with type 2 diabetes. To our knowledge, this is the first community-based PPC intervention to improve pregnancy preparation for women with type 2 diabetes. DATA AVAILABILITY: Further details of the data collection methodology, individual clinic data and the full audit reports for healthcare professionals and service users are available from https://digital.nhs.uk/data-and-information/clinical-audits-and-registries/our-clinical-audits-and-registries/national-pregnancy-in-diabetes-audit .

Indexed as

AdolescentAdultCommunity Health PlanningDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleFolic AcidHumansMiddle AgedPreconception CarePregnancyPregnancy in DiabeticsPrenatal CareProspective StudiesYoung AdultFolic AcidAntenatalCommunity-basedDiabetesFolic acidGlucoseGlycaemic controlPregnancyPre-pregnancy carePrimary care

Identifiers

PMID29744539
PMCPMC6445478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.