在T1D交流中进行生殖健康咨询 改善质量 协作合作
Grenye O'Malley1, Selassie Ogyaadu1, Camilla Levister1
1Icahn School of Medicine at Mount Sinai, New York, NY.
Diabetes spectrum : a publication of the American Diabetes Association
|November 19, 2025
概括
对1型糖尿病的预孕计划至关重要,但往往缺乏. 大多数诊所讨论避孕和怀孕,但正式计划和患者使用避孕措施仍然很低,影响怀孕结果.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 糖尿病管理 糖尿病管理
背景情况:
- 预孕计划显著减少了涉及1型糖尿病的妊娠并发症.
- 高分娩时A1C水平很常见,对母亲和胎儿都有很大的风险.
- 关于怀孕前辅导有效性的具体情况的数据有限.
研究的目的:
- 评估1型糖尿病中心在孕前咨询和避孕使用当前的做法.
- 识别正式的预孕辅导协议和患者的避孕措施遵守方面的差距.
- 为旨在提高1型糖尿病妇女怀孕结果的质量改善倡议提供信息.
主要方法:
- 2022年T1D交换质量改善协作 (T1DX-QI) 调查对50个中心 (33个儿科,17个成人) 进行.
- 调查数据集中在中心的资源,与避孕有关的做法,怀孕计划和患者A1C水平.
- 该研究包括13-50岁的1型糖尿病女性,并在T1DX-QI数据库中记录了A1C值.
主要成果:
- 大多数中心 (74%) 每年讨论避孕和 (72%) 计划怀孕.
- 正式的预孕咨询协议很少见 (12%的成年人,6%的儿科中心).
- 据报道,使用避孕方法的比例很低 (>80%的患者) (12%的成年人,9%的儿科),只有15-24.4%的患者达到目标A1C (<6.5%).
结论:
- 尽管关于避孕和计划的讨论,正式的预孕咨询和避孕使用率很低.
- 在怀孕前达到目标A1C水平仍然是一个挑战.
- 提高质量的努力对于建立怀孕前护理的最佳实践和改善1型糖尿病妊娠结果至关重要.
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