Bookmarks
CCU064: Impact of Covid-19 clinical care pathway changes on gestational diabetes incidence and pregnancy outcomes in England
Safe People
Organisation name
University of Edinburgh
Organisation sector
Academic Institute
Applicant name(s)
Rebecca Reynolds
Sub-licence arrangements (if any)?
No
Safe Projects
Project ID
CCU064
Lay summary
• During the COVID-19 pandemic, healthcare providers had to quickly adapt their approach to screening, diagnosing, and managing high blood sugar levels in pregnancy, known as gestational diabetes (GDM). • To minimise the risk of viral exposure, care providers made changes to the way care was delivered. This included reducing the number of face-to-face contacts, as well as making pragmatic decisions about identifying and managing high blood sugar levels in pregnancy, to avoid serious problems for babies, particularly stillbirth and being born too large. • The impact of these changes on pregnancy outcomes is unknown. • Whilst there is concern that these changes may have led to poorer outcomes for women and their babies, there may be benefits to women from the introduction of screening tests earlier in pregnancy. • We will use routinely-collected healthcare data to determine the effect of changes in antenatal care during the COVID-19 pandemic on the occurrence of GDM and associated pregnancy outcomes in England. • A particular focus of this work will be on outcomes for pregnant women and pregnant people from minority ethnic and low socioeconomic groups, as we know that these women and people have poorer pregnancy outcomes in general.
Public benefit statement
• The results of this study will provide essential information needed to guide the design of future antenatal care as we emerge from the pandemic. Visit the BHF Data Science Centre website for more detailed information about project outputs. https://bhfdatasciencecentre.org/projects/ccu064/
Technical summary
This project accessed the following datasets within the Trusted Research Environment(s) for CVD-COVID-UK / COVID-IMPACT: - ENGLAND: - GPES Data for Pandemic Planning and Research (COVID-19) - Hospital Episode Statistics Admitted Patient Care - MSDS (Maternity Services Data Set)
Latest approval date
30/05/2023
Safe Data
Dataset(s) name
Data sensitivity level
De-Personalised
Safe Setting
Access type
TRE
Safe Outputs
Link to research outputs