Preconception care in managed care: The translating research into action for diabetes study

Catherine Kim, Assiamira Ferrara, Laura N. McEwen, David G. Marrero, Robert B. Gerzoff, William H. Herman

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

This study was undertaken to examine the rates of preconception counseling in managed care for women with diabetes and associated patient and physician characteristics. Participants included women aged 18 to 45 years enrolled in a study of diabetes care in managed care. Women were asked if they recalled discussions regarding glucose control before conception (n = 236) and use of family planning until glucose control was achieved (n = 227). Hierarchical logistic regression models accounted for patient and physician characteristics. Fifty-two percent of women recalled being counseled about glucose control and 37% recalled family planning advice. In adjusted models, patient age (years) (odds ratio [OR] 0.91, 95% CI 0.86-0.96) and body mass index (BMI) (kg/m 2) (OR 0.96, 95% CI 0.93-0.99) remained significant predictors of glucose control counseling. Similarly, patient age (years) (OR 0.94, 95% CI 0.89-0.99) and BMI (kg/m2) (0.96, 95% CI 0.93-0.99) remained significant predictors of family planning counseling. Preconception counseling rates for diabetic women are low and associated with younger age and lower BMI.

Original languageEnglish (US)
Pages (from-to)227-232
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume192
Issue number1
DOIs
StatePublished - Jan 1 2005

Keywords

  • Diabetes
  • Prepregnancy counseling

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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