The quality of periconception medical care in women with diabetes needs improvement

Diabetes Care: November 12, 2013

Objective To evaluate the quality of periconception medical care in pregnant women with diabetes and assess the influence of socio-demographic characteristics.

Research Design and Methods : The study was based on retrospective data collection from electronic database on cohort of Israeli women at Clalit Healthcare Services (CHS) with pre-existing diabetes who gave birth in 2008-2011. It included data on A1C and other laboratory tests results, prescription fillings, diet and ophthalmology consultations and socio-demographics extracted from CHS computerized systems. The performance of each of 9 recommended measures in the periconception period and a composite quality score was evaluated; the score ranged from 0-8. Multivariate logistic regression was used to examine independent sociodemographic predictors of low quality overall scores. Read more