Diabetes in pregnancy: are we providing the best care ... - HQIP

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Appendix F - CEMACH advisory groups & contributors CEMACH Regional Managers Lesley Anson Yorkshire & Humberside (until March 2006) Angela Bell Northern Ireland Melanie Gompels South East and the Channel Islands Carol Hay East of England Julie Maddocks North West / West Midlands Marjorie Renwick North East Dawn Roberts Wales Rachel Thomas London Rosie Thompson South West Sue Wood East Midlands and Yorkshire & Humberside Panel Chairs Carol Axon Philip Banfield Miriam Bonduelle Ian Casson Jean Chapple Elizabeth Draper D A Evans Robert Fraser Malcolm Griffiths Paul Jennings Boon Lim Michael Maresh Heulwen Morgan C M Ritchie A I Traub Matthew Coleman Michael Gillmer Andrew Johnson Michael Quinn Dorothea Smith Derek Tuffnell Christopher Watts Sarah Wilson Christopher Wright Midwife, South West Consultant Obstetrician, Wales Consultant Obstetrician, Wales Consultant Physician, North West Consultant in Perinatal Epidemiology, London Senior Research Fellow in Reproductive and Paediatric Epidemiology, East Midlands Consultant Obstetrician, North East Reader in Reproductive & Developmental Medicine, Consultant in Obstetrics & Gynaecology, Yorkshire & Humberside Consultant Obstetrician & Gynaecologist, East of England Consultant Physician in Diabetes and Endocrinology, Yorkshire & Humberside Consultant Obstetrician, East of England Consultant Obstetrician, North West Consultant Obstetrician, London Consultant Physician, Northern Ireland Consultant Obstetrician, Northern Ireland Consultant Obstetrician, South East Consultant Obstetrician, South East Consultant Physician, South West Consultant Paediatrician, South West Midwife, South East Consultant Obstetrician, Yorkshire & Humberside Director of Public Health, London Director of Public Health, East Midlands Consultant Perinatal Pathologist, North East 136
Peer Reviewers Tim Clayton Anne Dornhurst Pat Doyle Ian Greer Michael Kinsella Michael Maresh Mary Macintosh David McCance Christopher Watts Joy Williams Senior Lecturer in Medical Statistics, London School of Hygiene & Tropical Medicine Consultant Physician & Honorary Clinical Senior Lecturer, Imperial College, London Epidemiologist, London School of Hygiene & Tropical Medicine Consultant Obstetrician, Dean of Hull York Medical School Consultant Anaesthetist, St Michael’s Hospital, Bristol Consultant Obstetrician, St Mary’s Hospital for Women and Children, Manchester Director, National Chlamydia Screening Programme Consultant Physician, Royal Victoria Hospital, Belfast Director of Public Health, Lewisham Primary Care Trust Senior Diabetes Nurse Specialist, Worthing Hospital Neonatal Enquiry Steering Group Jane Hawdon Chair, Neonatologist, University College London Hospitals Dominique Acolet CEMACH Clinical Director (Perinatal Epidemiology) Kate Fleming Senior Data Analyst, CEMACH (until November 2006) Caron Gooch Diabetes Specialist Midwife, Lewisham Rosie Houston CEMACH Assistant Projects Manager Alree Hunt Modern Matron, SCBU, Queen Elizabeth, Woolwich Alison Johns Transitional Care Sister, Neonatal Services, University College London Hospitals Jana Kovar National Projects Manager, CEMACH (until October 2006) Alison Leaf Consultant Neonatologist, Southmead Hospital, Bristol Alison Miller CEMACH Programme Director and Midwifery Lead Joan Oliver Head Neonatal Nurse, SCBU, Wansbeck General Hospital Justine Pepperell Family Support Manager, BLISS Laura de Rooy Consultant Neonatologist, St George’s Hospital, London Martin Ward Platt Consultant Paediatrician, Royal Victoria Infi rmary, Newcastle Anthony Williams Consultant Paediatrician, St George’s Hospital, London 137
Page 1 and 2:
Confidential Enquiry into Maternal
Page 3 and 4:
Contents Acknowledgements .........
Page 5 and 6:
• Members of the CEMACH Diabetes
Page 7 and 8:
Erb’s palsy Injury to the nerve r
Page 9 and 10:
Neonatal unit A unit which provides
Page 11 and 12:
Foreword This third and fi nal repo
Page 13 and 14:
1. Introduction This is the fi nal
Page 15 and 16:
2. Key fi ndings of the CEMACH Diab
Page 17 and 18:
Suboptimal fetal surveillance of ba
Page 19 and 20:
3. Summary of recommendations This
Page 21 and 22:
2. Patient pathways of care includi
Page 23 and 24:
the pregnancies meeting this defi n
Page 25 and 26:
in order to remove any identifi abl
Page 27 and 28:
When deriving odds ratios for any p
Page 29 and 30:
Associations are reported in Chapte
Page 31 and 32:
Table 5.1 Characteristics of women
Page 33 and 34:
Table 5.4 Characteristics of women
Page 35 and 36:
was no information available to pan
Page 37 and 38:
6. Factors associated with poor pre
Page 39 and 40:
Table 6.2 Association of clinical c
Page 41 and 42:
Table 6.5 Association of specifi c
Page 43 and 44:
Table 6.8 Association of postnatal
Page 45 and 46:
folic acid before pregnancy (19% of
Page 47 and 48:
Table 7.2 Panel comments on social
Page 49 and 50:
7.5 Conclusions One of the key fi n
Page 51 and 52:
11.Dex S, Heather J (eds). Millenni
Page 53 and 54:
8. Clinical care issues: preconcept
Page 55 and 56:
chance of induction of labour was r
Page 57 and 58:
8.6.1 Enquiry fi ndings Just over h
Page 59 and 60:
Some quotes from the panel discussi
Page 61 and 62:
Apart from the explanation of pregn
Page 63 and 64:
was associated with poor pregnancy
Page 65 and 66:
of women after the fi rst trimester
Page 67 and 68:
9.5.1 Panel comments on suboptimal
Page 69 and 70:
During labour and delivery, the maj
Page 71 and 72:
Just 52% of 383 women (38% of 164 c
Page 73 and 74:
• ‘No serial growth scans perfo
Page 75 and 76:
The panel enquiries, which are in e
Page 77 and 78:
10.3.1 Enquiry fi ndings Seventy fi
Page 79 and 80:
10.6 Communication Effective commun
Page 81 and 82:
Some quotes from the panel discussi
Page 83 and 84:
working between primary and seconda
Page 85 and 86:
we therefore selected 7.2% of pregn
Page 87 and 88:
11.4 Preconception behaviour The CE
Page 89 and 90:
enquiry related to a 12 month prior
Page 91 and 92:
Table 11.10 Differences in postnata
Page 93 and 94:
Type 1 and type 2 diabetes have tra
Page 95 and 96:
Panels were chaired by the panel ch
Page 97 and 98: In 57% (24/42) of cases, a junior d
Page 99 and 100: Infant formula given as fi rst feed
Page 101 and 102: 2.1 hours in babies remaining with
Page 103 and 104: 12.7.1 Panel comments on suboptimal
Page 105 and 106: The concerns described here probabl
Page 107 and 108: External commentary Patricia Hamilt
Page 109 and 110: informed and motivated to manage th
Page 112 and 113: 100 Appendix A: Pre-pregnancy care
Page 114 and 115: 102 Appendix B: Diabetes enquiry pr
Page 132 and 133: Appendix C Association between demo
Page 134 and 135: Appendix C Association of preconcep
Page 136 and 137: Appendix C Association of postnatal
Page 138 and 139: Appendix D Association of social an
Page 140 and 141: Appendix D Association of diabetes
Page 142 and 143: Appendix E Association between demo
Page 144 and 145: Appendix E Association between prec
Page 146 and 147: Appendix E Association between post
Page 150: Appendix F - CEMACH advisory groups
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Diabetes in pregnancy: are we providing the best care ... - HQIP

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