Adherence to the recommended diabetic retinopathy screening guidelines in pregnant women with pregestational diabetes: a cross-sectional survey study
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Le résumé fourni par la source
OBJECTIVE: Diabetic retinopathy (DR) in pregnancy can cause blindness. National guidelines recommend at least one eye examination in early pregnancy, then ideally 3-monthly, through to the postpartum for pregnant women with pregestational diabetes. Here we examined adherence rates, barriers and enablers to recommended DR screening guidelines. DESIGN: Cross-sectional survey study, as part of a larger prospective cohort study. SETTING: Participants were recruited from two tertiary maternity hospitals in Melbourne, Australia. PARTICIPANTS: Of the 173 pregnant women with type 1 (T1D) or type 2 diabetes (T2D) in the main cohort study, with an additional four who participated solely in this survey study, 130 (74.3%) completed the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: This study calculated rates of adherence to guideline-recommended DR screening schedules and collected data on the enablers and barriers to attendance using a modified Compliance with Annual Diabetic Eye Exams Survey. Each of the 5-point Likert-scale survey items was compared between adherent and non-adherent participants using the Wilcoxon rank-sum test and logistic regression models were constructed to quantify associations as ORs. RESULTS: A retinal assessment was undertaken at least once during pregnancy in 86.3% of participants, but only 40.9% attended during their first trimester and only 21.2% attended the recommended number of examinations. Competing priorities were the main barriers to adherence, with eye examinations ranked as the fourth priority (IQR 4th-5th) among other health appointments during pregnancy. Meanwhile, knowledge of the benefits of eye screening examinations, eye-check reminders and support from relatives was identified as enablers. CONCLUSIONS: Despite the risk of worsening DR during pregnancy, less than half of the participants adhered to recommended screening guidelines, suggesting that eye health is not a priority. Proactive measures to integrate care are needed to prevent visual loss in this growing population.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Adherence to the recommended diabetic retinopathy screening guidelines in pregnant women with pregestational diabetes: a cross-sectional survey study
- Date Crossref
- 01/09/2025
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Universitas Gadjah Mada pays non établi dans la noticeUniversité ou école supérieure
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The University of Melbourne Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Centre for Eye Research Australia pays non établi dans la noticeStructure de recherche
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The Royal Melbourne Hospital Department of Diabetes and Endocrinology pays non établi dans la noticeOrganisme public
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Royal Women's Hospital Diabetes and Endocrine Service pays non établi dans la noticeÉtablissement de santé
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Mercy Hospital for Women Perinatal Department pays non établi dans la noticeÉtablissement de santé
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Royal Children's Hospital Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
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Austin Hospital Department of Ophthalmology pays non établi dans la noticeÉtablissement de santé
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The Royal Victorian Eye & Ear Hospital pays non établi dans la noticeÉtablissement de santé
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Australian College of Optometry pays non établi dans la noticeUniversité ou école supérieure
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Monash University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Royal Victorian Eye and Ear Hospital Centre for Eye Research Australia pays non établi dans la noticeÉtablissement de santé
Universitas Gadjah Mada, Department of Surgery — The University of Melbourne et Centre for Eye Research Australia, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.