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dc.contributor.authorWicik, Karolinaen
dc.contributor.authorBahrami, Bobaken
dc.contributor.authorHalliday, Meganen
dc.contributor.authorHenderson, Timen
dc.contributor.authorRoulston, Taniaen
dc.contributor.authorUllrich, Katjaen
dc.identifier.citation© 2021 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.en
dc.identifier.citationAust N Z J Obstet Gynaecol. 2021 Dec 9. doi: 10.1111/ajo.13467.en
dc.description.abstractBACKGROUND: 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.en
dc.titleRates of diabetic retinopathy screening in pregnant patients with type 1 and type 2 diabetes in a predominantly Indigenous Central Australian population.en
dc.typeJournal Articleen
dc.identifier.journaltitleThe Australian & New Zealand journal of obstetrics & gynaecologyen
dc.description.affiliationDepartment of Obstetrics and Gynaecology, Alice Springs Hospital, The Gap, Northern Territory, Australia.en
dc.description.affiliationDepartment of Ophthalmology, Alice Springs Hospital, The Gap, Northern Territory, Australia.en
dc.description.affiliationFlinders University, Bedford Park, South Australia, Australia.en
local.issue.number1479-828X (Electronic)-
local.issue.number0004-8666 (Linking)-
Appears in Collections:(a) NT Health Research Collection

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