Rates of diabetic retinopathy screening in pregnant patients with type 1 and type 2 diabetes in a predominantly Indigenous Central Australian population.

Autor: Wicik K; Department of Obstetrics and Gynaecology, Alice Springs Hospital, The Gap, Northern Territory, Australia., Bahrami B; Department of Ophthalmology, Alice Springs Hospital, The Gap, Northern Territory, Australia., Halliday M; Department of Obstetrics and Gynaecology, Alice Springs Hospital, The Gap, Northern Territory, Australia., Henderson T; Department of Ophthalmology, Alice Springs Hospital, The Gap, Northern Territory, Australia., Roulston T; Flinders University, Bedford Park, South Australia, Australia., Ullrich K; Department of Ophthalmology, Alice Springs Hospital, The Gap, Northern Territory, Australia.
Jazyk: angličtina
Zdroj: The Australian & New Zealand journal of obstetrics & gynaecology [Aust N Z J Obstet Gynaecol] 2022 Jun; Vol. 62 (3), pp. 364-369. Date of Electronic Publication: 2021 Dec 09.
DOI: 10.1111/ajo.13467
Abstrakt: Background: Pregnancy is a risk factor for the progression of diabetic retinopathy (DR) in women with pre-gestational diabetes. Australian screening guidelines recommend DR screening in the first trimester of pregnancy. The rates of DR screening in pregnant patients with pre-gestational diabetes are unknown in Australia.
Aim: To determine the rates of DR screening in pregnant women with pre-gestational diabetes at Alice Springs Hospital Diabetes Antenatal Care and Education (DANCE) clinic.
Materials and Methods: Retrospective review of women with pre-gestational diabetes who attended the DANCE clinic between July 2016 and June 2020.
Results: There were 146 pregnancies in 144 individual women included in this review. There were 93% (n = 134) who identified as Aboriginal but not Torres Strait Islander. DR screening was performed in 23 (16%) pregnancies, in which DR was present in six (26%) and no retinal abnormality was found in 17 (74%). Of seven (5%) women who had a history of DR, only three had a screen during the pregnancy period. The location of the DR screen included Alice Springs Hospital (17%, n = 4), Alice Springs general practice clinics (35%, n = 8) and remote NT community clinics outside of Alice Springs (39%, n = 9). The trimesters in which women received their DR screens were: trimester 1, 45%, n = 10; trimester 2, 39%, n = 9; trimester 3, 17%, n = 4.
Conclusion: The minority of pregnant women who attend the DANCE clinic at Alice Springs Hospital received DR screening in adherence with national guidelines.
(© 2021 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)
Databáze: MEDLINE
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