Cardiovascular Care in Ontario

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Key Messages

• Careful blood sugar control, particularly prior
  to conception and during organ development in the
  first few weeks of pregnancy in women with
  diabetes mellitus (DM) can significantly reduce
  the risk of congenital abnormalities and
  macrosomia.
• The complications of DM can worsen during
  pregnancy and women with DM should also be
  screened for the presence of kidney and eye
  disease (diabetic nephropathy and retinopathy).

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Key Research Findings

• When compared to women without DM, women with DM
  were more than twice as likely to have a
  diagnosis of preeclampsia or hypertension.Obstruc
  ted labour was found in 6 to 8 of deliveries,
  and stillbirths occurred in about one to two
  percent of women, double the ratio found in women
  without DM

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Key Research Findings (Contd)

• About 30 of women with DM had inductions of
  labour, a rate that is almost 50 higher than in
  women without DM. Similar findings are reported
  for cesarean section (C-section) deliveries, the
  method of delivery for over 30 of women with
  DMmore than 50 higher than the rate observed in
  women without DMeven after adjustment for age.

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Key Research Findings (Contd)

• About one-quarter of women with DM had a retinal
  exam by either an ophthalmologist or optometrist
  during pregnancy.