• diabetes;
  • education;
  • preconception counselling;
  • prepregnancy care

Diabet. Med. 29, 950–956 (2012)


Aims  To determine if an educational DVD increases knowledge and changes attitudes of women with diabetes towards preconception care.

Methods  Ninety-seven women with diabetes (Type 1, = 89; Type 2, = 8), aged 18–40 years, completed a pre-DVD and post-DVD intervention study by postal questionnaire. Beliefs and attitudes associated with preventing an unplanned pregnancy and seeking preconception care were assessed using a validated questionnaire; scales included benefits, barriers, personal attitudes and self-efficacy. Knowledge of pregnancy planning and pregnancy-related risks were assessed by a 22-item questionnaire.

Results  After viewing the DVD there was significant positive change in women’s perceived benefits of, and their personal attitudes to, receiving preconception care and using contraception: change in score post-DVD viewing 0.7 (95% confidence interval 0.3, 1.2), = 0.003, and 0.8 (0.3, 1.2), = 0.001, respectively. The DVD significantly improved self-efficacy, that is, self-confidence to use contraception for prevention of an unplanned pregnancy and to access preconception care [3.3 (1.9, 4.7), < 0.001], and significantly reduced perceived barriers to preconception care [−0.7 (−1.2, −0.2), = 0.01]. Knowledge of pregnancy planning and pregnancy-related risks increased significantly after viewing the DVD: mean increase was 37.6 ± 20.0%, < 0.001, and 16.9 ± 21.2%, < 0.001, respectively.

Conclusions  This study demonstrates the effectiveness of a DVD in increasing knowledge and enhancing attitudes of women with diabetes to preconception care. This DVD could be used as a prepregnancy counselling resource to prepare women with diabetes for pregnancy.