Diabetes and Pregnancy

Date Reviewed:

Top ten resources looking at diabetes and pregnancy.

Woman with diabetes in pregnancy are two to four times more likely to give birth to a baby with an abnormality, and five times as likely as women without diabetes to experience a stillbirth. Miscarriages, pre-eclampsia and preterm labour are more common in women with pre-existing diabetes.

The concept of gestational diabetes mellitus (GDM) or hyperglycaemia in pregnancy has long been recognised but is still the subject of much controversy. Many different screening protocols and clinical guidelines exist, but no international consensus, and even within countries there is considerable confusion as to what constitutes best practice. However, it is clear that effective preconception care improves outcomes but not enough women access this care. The resources below highlight the need for improved care and show examples of best practice.

  1. Introducing the National Diabetes in Pregnancy Audit - Diabetes UK

  2. Diabetes in pregnancy: management of diabetes and its complications from pre-conception to the postnatal period - National Institute for Health and Care Excellence

  3. Gestational diabetes: new criteria may triple the prevalence but effect on outcomes is unclear - British Medical Journal

  4. Hyperglycaemia and adverse pregnancy outcome (Hapo) 2014: fact, frustration and future needs - Diabetes voice

  5. PROCEED - Preconception care for diabetes - Paru King, The Health Foundation

  6. Women with Diabetes website - Queen’s University Belfast

  7. S.A.F.E.R - a pre-pregnancy counselling leaflet for women with diabetes - NHS Diabetes

  8. West Midlands confidential enquiry into diabetes in pregnancy - Confidential Enquiry into Maternal and Child Health

  9. Global estimates of the prevalence of hyperglycaemia in pregnancy - Diabetes Research and Clinical Practice

  10. A gestational diabetes screening service - Heather Chandler, The Health Foundation

  11. As diabetes continues to sweep through the UK's population, a midwife at The Rosie Maternity Hospital in Cambridge describes its impact on pregnancy - Cambridge News

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