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Earlier delivery may be considered for pregnant women with diabetes who are at increased risk of stillbirths.
Although most mothers with diabetes have a healthy pregnancy, the risk of stillbirths is three times higher in mothers with diabetes than in mothers without diabetes.
In this study, the risk of stillbirths affected 0.5% of births in nondiabetic women, 1.6% of births of women with type 1 diabetes, and 2.3% of births of women with type 2 diabetes. .
A team from the University of Glasgow has conducted a health data study of nearly 4,000 mothers with diabetes in Scotland.
They discovered a number of variables that could have an impact on risk, including high blood sugar and body mbad index (BMI) of pregnant women.
Dr. Sharon Mackin, Research Manager, said, "It is essential that we, as health professionals, find better ways to help women of childbearing age optimize their weight and blood sugar levels. that in case of pregnancy, that they are planned unplanned, they are better prepared and their risk of adverse effects is reduced.
"It is important for women with diabetes to be aware of this and to have access to appropriate pre-conceptual counseling, even if they are not planning a pregnancy imminently.
"Women with diabetes should also get in touch with their diabetes treatment center as soon as they undergo a positive pregnancy test so we can see and support them quickly."
The results also suggest that one-third of stillbirths in women with diabetes occur over time. This is why researchers ask if fast delivery can be an effective way to reduce risk.
Dr. Mackin said they had to ask "if early delivery of all pregnancies with diabetes could prevent these stillbirths in the long run.
She added, "We do not know the answer to this question.The optimal time to give birth in such pregnancies is not clear."
The data showed that the risk of stillbirth was three times higher in women with type 1 diabetes and about four times higher in women with type 2 diabetes.
Emily Burns, head of research at Diabetes UK, said: "Most women with diabetes have a healthy pregnancy and a healthy baby, but this research underscores the importance of helping women with diabetes. Diabetes to manage their blood sugar when planning a pregnancy and to reduce their risk of complications as much as possible.
"It also suggests that losing extra weight in women with overweight type 2 diabetes may also help reduce this risk.We need research to find better ways to predict who has the highest risk of complications during pregnancy. pregnancy, in order to benefit from support, can be provided to those who need it most. "
The study was published in the journal Diabetologia.
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