Control preconcepcional en la diabetes: factores predisponentes y barreras / Preconception care in diabetes: Predisposing factors and barriers
Endocrinol. diabetes nutr. (Ed. impr.)
; 65(3): 164-171, mar. 2018. tab
Article
in Spanish
| IBECS
| ID: ibc-171308
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Antecedentes y objetivo:
El control preconcepcional ha demostrado reducir el riesgo del embarazo asociado a la diabetes, pero muchas mujeres siguen quedando gestantes sin planificación previa. Nuestro objetivo fue identificar los factores predisponentes y las barreras relacionadas con la realización de control preconcepcional. Material ymétodos:
Se incluyeron, de forma consecutiva, 50 mujeres con diabetes pregestacional (28 tipo 1) y 50 gestantes sin diabetes que acudían a nuestro centro. Se les pidió que cumplimentaran un cuestionario y se revisaron sus historias clínicas.Resultados:
Las 33 pacientes con diabetes y control preconcepcional tenían una edad actual (34,3±5,3 años) y al diagnóstico de la diabetes (20,3±11,3 años) similares a las 17 pacientes sin control (31,8±5,3 y 19,1±10,6 años, respectivamente; p>0,1), pero estaban con más frecuencia viviendo en pareja (97% vs. 70,6%; p=0,014), laboralmente activas (69,7% vs. 29,4%; p=0,047), eran seguidas por un/a endocrinólogo/a (80,6% vs. 50%; p=0,034), habían tenido abortos previos (78,6% vs. 10%; p=0,001), y conocían la repercusión de la diabetes en el embarazo (87,5% vs. 58,8%; p=0,029). No hubo diferencias significativas en la toma de ácido fólico pregestacional entre las gestantes con y sin diabetes (23,8% vs. 32%; p>0,1).Conclusiones:
En las pacientes con diabetes, acudir a control preconcepcional se asoció con vivir en pareja, estar laboralmente activas, conocer el riesgo de complicaciones, tener abortos previos y ser seguidas por un/a endocrinólogo/a. Existe un bajo porcentaje de preparación de la gestación, también en el grupo sin diabetes (AU)ABSTRACT
Background and objective:
Preconception care has been shown to decrease the risk of pregnancy-related complications in women with diabetes, but many women do not plan their pregnancies. Our aim was to identify the associated factors and barriers related to involvement of these women in preconception care. Material andmethods:
Fifty women with pregestational diabetes (28 with type 1 diabetes) and 50 non-diabetic pregnant women were consecutively enrolled at our hospital. They completed a questionnaire, and their medical histories were reviewed.Results:
All 33 patients with diabetes who received preconception care had a similar current age (34.3±5.3 years) and age at diagnosis (20.3±11.3) than those with no preconception care (n=17) (31.8±5.3 and 19.1±10.6 years respectively; P>.1), but were more frequently living with their partners (97% vs. 70.6%; P=.014), employed (69.7% vs. 29.4%; P=.047), and monitored by an endocrinologist (80.6% vs. 50%; P=.034), had more commonly had previous miscarriages (78.6% vs. 10%; P=.001), and knew the impact of diabetes on pregnancy (87.5% vs. 58.8%; P=.029). The frequency of preconceptional folic acid intake was similar in pregnant women with and without diabetes (23.8% vs. 32%; P>.1).Conclusions:
Preconception care of diabetic patients is associated to living with a partner, being employed, knowing the risks of pregnancy-related complications, having previous miscarriages, and being monitored by an endocrinologist. Pregnancy planning is infrequent in both women with and without diabetes (AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Goal 9: Noncommunicable diseases and mental health
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
/
Maternal Care
Database:
IBECS
Main subject:
Diabetes, Gestational
/
Diabetes Mellitus
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Diabetes Mellitus, Type 1
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Diabetes Mellitus, Type 2
/
Folic Acid
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Endocrinol. diabetes nutr. (Ed. impr.)
Year:
2018
Document type:
Article
Institution/Affiliation country:
Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria/España
/
Universidad de Las Palmas de Gran Canaria/España