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Title: Rates of diabetic retinopathy screening in pregnant patients with type 1 and type 2 diabetes in a predominantly Indigenous Central Australian population.
Authors: Wicik, Karolina
Bahrami, Bobak
Halliday, Megan
Henderson, Tim
Roulston, Tania
Ullrich, Katja
Citation: © 2021 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
Aust N Z J Obstet Gynaecol. 2021 Dec 9. doi: 10.1111/ajo.13467.
Abstract: 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.
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Journal title: The Australian & New Zealand journal of obstetrics & gynaecology
Publication Date: 2021-12-09
Type: Journal Article
DOI: 10.1111/ajo.13467
Orcid: 0000-0002-3223-5109
Appears in Collections:(a) NT Health Research Collection

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