Audit of pregnancy for women with pre-existing diabetes attending the maternal medicine clinic at St. Michael’s Hospital in 2002

Audit of outcome of Diabetic Pregnancies 25 women with pre-pregnancy diagnosed diabetes were managed in the medical Antenatal clinic at St. Michael’s Hospital in 2002 NSF document estimates 1 in 250 pregnant women have pre-existing diabetes –4,500 deliveries = 18 women expected

HbA1c Aim to assay HbA1c each trimester Notes available on 16/25 10/16 had HbA1c three times Of the remaining 2 presented late and 2 notes incomplete

HbA1c values First HbA1c mean 7.0% (SD1.4) (range ) Mean throughtout pregnancy 6.5% (SD1.1) (range )

Gestation At Delivery Pre-term <37 weeks

Type of labour

Method of delivery

Birthweight

Days on Special Care Baby Unit 80% of babies go to the special care baby unit.

Congenital Anomalies Two One cardiac alone One cardiac, hypospadius & hypoparathyroidism

Perinatal Mortality 1 Intrauterine death