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There should be mechanisms in place to identify vulnerable communities and individuals, so that additional services can be provided as appropriate to women of childbearing age with diabetes, thereby ensuring optimal preconception care. PcNRecommendations IILProviders should develop educational strategies that will enable all women with diabetes of childbearing age to prepare adequately for pregnancy. Research should be carried out to:Identify the barriers to accessing preconception careIdentify possible strategies to support self-care and pregnancy planning by women with diabetes..ZZ  /defgh   0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғ3y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴>?" dd@|?" dd@   " @ ` n?" dd@   @@``PV    @ ` `p>>  N(    6 ,  T Click to edit Master title style! !  0 'g  RClick to edit Master text stylesSecond levelThird levelFourth levelFifth level!   S`  C *APicture1"   0t Y&  TCEMACH Diabetes in Pregnancy National Report Launch, Sheffield, 26th February 2007UU   nAL Y?$dv418111ucPreview_imgMain#" `SH  0޽h ? 3380___PPT10.O2 Default Design  0 kc@(    6Hf > fT Click to edit Master title style! !  0Lf  `  fW#Click to edit Master subtitle style$ $  nAL Y?$dv418111ucPreview_imgMain#" `S`  C *APicture1"H  0޽h ? 3380___PPT10.OO 0 zr` (    0FM P   MP*    08KM    MR*  d  c $ ?  M  0 K | <K?CL 9i I- @` | <hK? L Ci K27% @` | <K?L i h Contraception in last 12 months!P! @` | <K?C'9^35%d( @` | <K? 'CK28% @`  | <hK?' MSmoking @`  | <K?Ci 9'^ <10% to 50%c   @`  | <tK? i C'K27% @`  | <(K?i 'P Folic acid   @` | <DnD?C9L V58%a  @` | <xwD? CL K41% @` | <xD? L WPlanned pregnancy @` | <D?C/9fGeneral maternity population @` | <pD? /CZWomen in enquiry @` | <|D?/ > @``B | 0o ?/9/ZB | s *1 ?9ZB | s *1 ?L 9L ZB | s *1 ?'9'`B | 0o ?9`B | 0o ?/ZB | s *1 ? / ZB | s *1 ?C/C`B | 0o ?9/9ZB | s *1 ?i 9i  | 0Dv'Ka, d Millennium Cohort Study First Survey 2004 c Ray JG et al BJOG 2004 JL0P2,H | 0޽h ? 33___PPT10i.KE+D=' =@B +0 0 G?(  x  c $K*I K ? '/ # #""_2/' K  <\5D ?  g5.2 [3.3, 8.2] &" @`  <7D ? t 37%(76/209)6"" " @`  <8D ?1 v71% (146/205)6" " @`  <9D ?' 1 -After 1st trimester up to labour and delivery,. % @`  <]D  ?"`   X3.4 [2.1, 5.7] @`   <L_D  ?"`   c61%(118/192)$  @`   <D  ?"`1  c84%(171/204)$  @`   < D  ?"`' 1 nIn 1st trimester,   @`   <xD ? . g3.9 [2.2, 7.0] &" @`  <A ? .  c69%(115/167)$  @`  <L ?1 .  c88%(165/187)$  @`  <(G ?'.1  XBefore pregnancy @`  < ? /.uAdjusted ORa [95% CI].    @`  < ? / .V Good outcome @`  <# ?1 / .V Poor outcome @`  <H% ?'/1 .{1Panel assessment of suboptimal glycaemic control22 @`fB  6o ?'//`B  01 ?'..`B  01 ?'  fB  6o ?'`B  01 ?1 /1 `B  01 ? / `B  01 ? / `B  01 ?'  fB  6o ?'/'fB  6o ?/  B2'f2a Adjusted for maternal age and social deprivation3 23H  0޽h ? 33___PPT10i.K+D=' =@B + 0 0(  x  c $$D,  D  '9  # #"'9  D  <D  ?"`a 9 X3.9 [2.5, 6.1] @`  <̮  ?"`a 9 b 27%(56/207)$  @`  <  ?"`z a 9 c60%(118/197)$  @`  <B  ?"`'a z 9 XDuring pregnancy @`  < ?a g4.9 [2.7, 8.8] &" @`   < ?a b 57%(88/154)$  @`   < ?z a c83%(137/160)$  @`   < ?'z a XBefore pregnancy @`   < ?uAdjusted ORa [95% CI].    @`  < ?V Good outcome @`  <?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdfghijklmnopqrstuvwxyz{|}~Root EntrydO)Pictures%Current UserSummaryInformation(TPowerPoint Document(e[DocumentSummaryInformation8