naa a22 4500 510779417 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11892-013-0417-5 doi (NATIONALLICENCE)springer-10.1007/s11892-013-0417-5 The Challenges and Future Considerations Regarding Pregnancy-Related Outcomes in Women with Pre-Existing Diabetes [Elektronische Daten] [Harsimran Singh, Helen Murphy, Christel Hendrieckx, Lee Ritterband, Jane Speight] Ineffective management of blood glucose levels during preconception and pregnancy has been associated with severe maternal and fetal complications in women with pre-existing diabetes. Studies have demonstrated that preconception counseling and pre-pregnancy care can dramatically reduce these risks. However, pregnancy-related outcomes in women with diabetes continue to be less than ideal. This review highlights and discusses a variety of patient, provider, and organizational factors that can contribute to these suboptimal outcomes. Based on the findings of studies reviewed and authors' clinical and research experiences, recommendations have been proposed focusing on various aspects of care provided, including improved accessibility to effective preconception and pregnancy-related care and better organized clinic consultations that are sensitive to women's diabetes and pregnancy needs. Springer Science+Business Media New York, 2013 Pregnancy nationallicence Pre-existing diabetes nationallicence Congenital malformations nationallicence Preconception counseling nationallicence Gestational nationallicence Prepregnancy care nationallicence Contraception nationallicence Glycemic control nationallicence High-risk pregnancy nationallicence Distress nationallicence Fetal outcomes nationallicence Stillbirth nationallicence Neonatal death nationallicence Newborn nationallicence Motherhood nationallicence Singh Harsimran Department of Psychiatry and Neurobehavioral Sciences, Division of Behavioral Health and Technology, University of Virginia School of Medicine, 310 Old Ivy Way, Suite 102, 22903, Charlottesville, VA, USA aut Murphy Helen Metabolic Research Laboratories and NIHR Cambridge Biomedical Center, Level 4, Institute of Metabolic Science, Box 289 Addenbrookes Hospital, CB2 0QQ, Cambridge, UK aut Hendrieckx Christel The Australian Center for Behavioural Research in Diabetes, Diabetes Australia-Vic, 570 Elizabeth Str, 3000, Melbourne, Australia aut Ritterband Lee Department of Psychiatry and Neurobehavioral Sciences, Division of Behavioral Health and Technology, University of Virginia School of Medicine, 310 Old Ivy Way, Suite 102, 22903, Charlottesville, VA, USA aut Speight Jane The Australian Center for Behavioural Research in Diabetes, Diabetes Australia-Vic, 570 Elizabeth Str, 3000, Melbourne, Australia aut Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 869-876 1534-4827 13:6<869 2013 13 11892 https://doi.org/10.1007/s11892-013-0417-5 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-013-0417-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Singh Harsimran Department of Psychiatry and Neurobehavioral Sciences, Division of Behavioral Health and Technology, University of Virginia School of Medicine, 310 Old Ivy Way, Suite 102, 22903, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Murphy Helen Metabolic Research Laboratories and NIHR Cambridge Biomedical Center, Level 4, Institute of Metabolic Science, Box 289 Addenbrookes Hospital, CB2 0QQ, Cambridge, UK aut NATIONALLICENCE 700 1- Hendrieckx Christel The Australian Center for Behavioural Research in Diabetes, Diabetes Australia-Vic, 570 Elizabeth Str, 3000, Melbourne, Australia aut NATIONALLICENCE 700 1- Ritterband Lee Department of Psychiatry and Neurobehavioral Sciences, Division of Behavioral Health and Technology, University of Virginia School of Medicine, 310 Old Ivy Way, Suite 102, 22903, Charlottesville, VA, USA aut NATIONALLICENCE 700 1- Speight Jane The Australian Center for Behavioural Research in Diabetes, Diabetes Australia-Vic, 570 Elizabeth Str, 3000, Melbourne, Australia aut NATIONALLICENCE 773 0- Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 869-876 1534-4827 13:6<869 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer