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

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Published February 2007 by CEMACH CEMACH, Chiltern Court, 188 Baker Street, London, NW1 5SD Tel: 0207 486 1191 Fax: 0207 486 6543 Email: info@cemach.org.uk Website: www.cemach.org.uk ISBN: 978-0-9533536-3-7 UK Price £15 Ireland and rest of Europe Price 23€ To obtain further copies of this report please email info@cemach.org.uk or visit www.cemach.org.uk
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
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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
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Some quotes from the panel discussi
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Apart from the explanation of pregn
Page 63 and 64:
was associated with poor pregnancy
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of women after the fi rst trimester
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9.5.1 Panel comments on suboptimal
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During labour and delivery, the maj
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Just 52% of 383 women (38% of 164 c
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• ‘No serial growth scans perfo
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The panel enquiries, which are in e
Page 77 and 78:
10.3.1 Enquiry fi ndings Seventy fi
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10.6 Communication Effective commun
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Some quotes from the panel discussi
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working between primary and seconda
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we therefore selected 7.2% of pregn
Page 87 and 88:
11.4 Preconception behaviour The CE
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enquiry related to a 12 month prior
Page 91 and 92:
Table 11.10 Differences in postnata
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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 148 and 149: Appendix F - CEMACH advisory groups
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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