Interconception care for women with a history of gestational diabetes for improving maternal and infant outcomes

Cochrane database of systematic reviews, June 2013

23736989

Tieu J, Bain E, Middleton P, Crowther CA, Tieu, Joanna, Bain, Emily, Middleton, Philippa, Crowther, Caroline A

Gestational diabetes mellitus (GDM) is associated with adverse health outcomes for both mother and infant both perinatally and long-term. Women with a history of GDM are at risk of recurrence in subsequent pregnancies and may benefit from intervention in the interconception period to improve maternal and infant health outcomes. To investigate the effects of interconception care for women with a history of GDM on maternal and infant health outcomes. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 January 2013). Randomised controlled trials, including quasi-randomised controlled trials and cluster-randomised trials evaluating any protocol of interconception care with standard care or other forms of interconception care for women with a history of GDM in a previous pregnancy on maternal and infant health outcomes. Two review authors independently assessed study eligibility. In future updates of this review, at least two review authors will extract data and assess the risk of bias of included studies. One ongoing trial was identified. No eligible completed trials were identified. The role of interconception care for women with a history of gestational diabetes remains unclear. Randomised controlled trials are required evaluating different forms and protocols of interconception care for these women on perinatal and long-term maternal and infant health outcomes, acceptability of such interventions and cost-effectiveness.