{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T05:06:34Z","timestamp":1768971994559,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T00:00:00Z","timestamp":1551312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The purpose of this study was to identify the number of pregnancies affected by pre\u2010gestational diabetes in the Republic of Ireland; to report on pregnancy outcomes and to identify areas for improvement in care delivery and clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Healthcare professionals caring for women with pre\u2010gestational diabetes during pregnancy were invited to participate in this retrospective study. Data pertaining to 185 pregnancies in women attending 15 antenatal centres nationally were collected and analysed. Included pregnancies had an estimated date of delivery between 1 January and 31 December 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort consisted of 122 (65.9%) women with Type 1 diabetes and 56 (30.3%) women with Type 2 diabetes. The remaining 7 (3.8%) pregnancies were to women with maturity\u2010onset diabetes of the young (<jats:styled-content style=\"fixed-case\">MODY<\/jats:styled-content>) (<jats:italic>n<\/jats:italic>\u00a0=\u00a06) and post\u2010transplant diabetes (<jats:italic>n<\/jats:italic>\u00a0=\u00a01). Overall women were poorly prepared for pregnancy and lapses in specific areas of service delivery including pre\u2010pregnancy care and retinal screening were identified. The majority of pregnancies 156 (84.3%) resulted in a live birth. A total of 103 (65.5%) women had a caesarean delivery and 58 (36.9%) infants were large for gestational age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This audit identifies clear areas for improvement in delivery of care for women with diabetes in the Republic of Ireland before and during pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13923","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T13:03:16Z","timestamp":1549112596000},"page":"2044-2049","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["An Irish National Diabetes in Pregnancy Audit: aiming for best outcomes for women with diabetes"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0379-9279","authenticated-orcid":false,"given":"A. M.","family":"Egan","sequence":"first","affiliation":[{"name":"University Hospital Galway Galway Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J.","family":"Brassill","sequence":"additional","affiliation":[{"name":"South Tipperary General Hospital Clonmel Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Brosnan","sequence":"additional","affiliation":[{"name":"Mayo University Hospital Castlebar Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Carmody","sequence":"additional","affiliation":[{"name":"University Hospital Galway Galway Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Portiuncla University Hospital Ballinasloe Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Coogan Kelly","sequence":"additional","affiliation":[{"name":"St Luke's General Hospital Kilkenny Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Culliney","sequence":"additional","affiliation":[{"name":"Cork University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Durkan","sequence":"additional","affiliation":[{"name":"Bon Secours Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Fenlon","sequence":"additional","affiliation":[{"name":"Wexford General Hospital Wexford Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Ferry","sequence":"additional","affiliation":[{"name":"Letterkenny University Hospital Letterkenny Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Hanlon","sequence":"additional","affiliation":[{"name":"St Luke's General Hospital Kilkenny Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Higgins","sequence":"additional","affiliation":[{"name":"University Hospital Kerry Tralee Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Hoashi","sequence":"additional","affiliation":[{"name":"Midland Regional Hospital Mullingar Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Khamis","sequence":"additional","affiliation":[{"name":"Letterkenny University Hospital Letterkenny Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Kinsley","sequence":"additional","affiliation":[{"name":"Coombe Women and Infants University Hospital Dublin Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Kinsley","sequence":"additional","affiliation":[{"name":"Coombe Women and Infants University Hospital Dublin Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Kirwan","sequence":"additional","affiliation":[{"name":"University Hospital Galway Galway Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Liew","sequence":"additional","affiliation":[{"name":"Portiuncla University Hospital Ballinasloe Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"McGurk","sequence":"additional","affiliation":[{"name":"St Luke's General Hospital Kilkenny Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"McHugh","sequence":"additional","affiliation":[{"name":"Sligo University Hospital Sligo Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. S.","family":"Murphy","sequence":"additional","affiliation":[{"name":"South Infirmary Victoria University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Cork University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"O'Halloran","sequence":"additional","affiliation":[{"name":"Cork University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"O'Mahony","sequence":"additional","affiliation":[{"name":"Cork University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Bon Secours Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Nolan","sequence":"additional","affiliation":[{"name":"University Hospital Kerry Tralee Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Peter","sequence":"additional","affiliation":[{"name":"University Hospital Waterford Waterford Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Roberts","sequence":"additional","affiliation":[{"name":"University Hospital Waterford Waterford Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Smyth","sequence":"additional","affiliation":[{"name":"Coombe Women and Infants University Hospital Dublin Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Todd","sequence":"additional","affiliation":[{"name":"Mayo University Hospital Castlebar Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tuthill","sequence":"additional","affiliation":[{"name":"Cork University Hospital Cork Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. 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