Introduction & Objective: In South Carolina, risks of pregnancy associated with maternal diabetes are worsened by disparities. Expert team-based care that is equitable, feasible, meets real-life needs, and improves communication is essential. Objective: to improve pregnancy outcomes through a ‘Management of Maternal (MOMs) Diabetes Program’ implemented at three centers across SC, intended to provide a ‘one stop shop’ and utilize new technologies.
Methods: We compared outcomes for 948 MOMs patients (13% Type 1, 31% Type 2, and 56% gestational diabetes A2: 2020-2023) with 680 ‘standard care’ comparator patients (‘COMP’, from chart abstractions, Medical University of South Carolina perinatal database: 2017-2019). Maternal age and ‘diabetes type’ distributions were similar between groups, but COMP had a higher proportion of Black patients (52.1% vs. 24.8%) and fewer categorized as Hispanic or ‘other’. Two Proportion Z-Tests (two-tailed) were used for statistical analyses, with/without adjustment for race.
Results: Maternal and infant outcomes in MOMs vs. COMP are shown for all patients and for Black and White patients (Table 1).
Conclusions: Despite COVID-19, the MOMs program reduced C-sections, pre-term birth and neonatal hypoglycemia, and improved APGAR scores. Emphasizing the challenge of racial disparities, benefits were greater for White than Black patients.
D. Fu: None. M.J. Leyva: None. M.M. Schellinger: None. B.A. Campbell: None. C.U. Cart: None. M. Finneran: None. J. Britt: None. U. Lilavivat: None. M.K. Smith: None. M.E. Manson: None. K.J. Hunt: None. T. Lyons: None.
BlueCross BlueShield of South Carolina Foundation (2020-09,2020-08); Duke Endowment (6877-SP)
