The challenges and future considerations regarding pregnancy-related outcomes in women with pre-existing diabetes

Harsimran Singh, Helen R Murphy, Christel Hendrieckx, Lee Ritterband, Jane Speight

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)869-876
Number of pages8
JournalCurrent Diabetes Reports
Issue number6
Early online date7 Sep 2013
Publication statusPublished - Dec 2013


  • Pregnancy
  • Pre-existing diabetes
  • Congenital malformations
  • Preconception counseling
  • Gestational
  • Prepregnancy care
  • Contraception
  • Glycemic control
  • High-risk pregnancy
  • Distress
  • Fetal outcomes
  • Stillbirth
  • Neonatal death
  • Newborn
  • Motherhood

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