Women With Diabetes Having More C-Sections And Fetal Complications: Study

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Nearly half of women with diabetes prior to pregnancy have a potentially-avoidable C-section and their babies are twice as likely to die as those born to women without diabetes ...

... rates of diabetes in Ontario have doubled in the last 12 years. Nearly one in 10 Ontario adults has been diagnosed with diabetes, including more women than ever before.

As women develop type 2 diabetes (adult onset) during childbearing age, complications during pregnancy are becoming increasingly common ....

* 45 per cent of women with pre-gestational diabetes are having C-sections compared with 37 per cent of women with gestational diabetes and 27 percent of women without diabetes.

* Babies born to women with pre-pregnancy diabetes have twice as many fetal complications as those born to women without diabetes.

* The rate of stillbirth/in-hospital mortality in women with pre-pregnancy diabetes is twice the rate in women with diabetes (5.2 per 1,000 vs 2.5 per 1,000) than women without diabetes.

* Rates of major and minor congenital anomalies were 60 per cent higher among women with pre-pregnancy diabetes than women without diabetes.

* More than 50 per cent of people who don't yet have diabetes have risk factors for the disease.

... "Infants born to women with diabetes are at much higher risk for serious complications - which can be prevented by controlling glucose and blood pressure levels at the time of conception and during pregnancy," ... "This reflects a need for more targeted pre-pregnancy counselling and better pregnancy care for this group of women."

... most diabetes can be prevented ... "We need to focus on preventing or reducing rates of diabetes among young women, one of the most vulnerable groups, and ensure that women who have diabetes get effective treatment," ...

Melissa Maimann, Essential Birth Consulting 0400 418 448