Outcome of pregnancy in diabetic women in northeast England and in Norway, 1994-7

doi:10.1136/bmj.321.7263.730

BMJ 2000;321:730-731 ( 23 September )

Papers

Outcome of pregnancy in diabetic women in northeast England and in Norway, 1994-7

G Hawthorne, consultant physician ^a, L M Irgens, professor ^b, R T Lie, professor of medical statistics ^b.

^a Northern Diabetic Pregnancy Survey, Regional Maternity Survey Office, Newcastle upon Tyne NE2 4AA, ^b Medical Birth Registry of Norway, Hauletend Hospital, N-5021 Bergen, Norway

Correspondence to: G C Hawthorne gillian.hawthorne@nth.northy.nhs.uk

The first 150 words of the full text of this article appear below.

In northeast England, perinatal mortality is five times higher and congenital malformation is four times higher for pregnanciesin diabetic women than for those in women who do not have diabetes.¹The same is true in other regions in the United Kingdom, ² ³ but this is not the case in Norway.⁴ Why is the outcome ofpregnancy in diabetic women better in Norway? Does Norway usethe same definitions and record the same outcome data as the UnitedKingdom? If the data are standardised will these differences disappear?If not, what is causing the difference in the outcome of pregnancyin diabeticwomen?

The methodology for data collection needs to be standardised between the two countries to determine whether differences inoutcome are real before looking for explanations in the healthcaresystems of the two countries. We compare the outcome of pregnancyin women with diabetes based on prospective population data . . . [Full text of this article]

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