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

2. 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

3. 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

4. HbA1c values First HbA1c mean 7.0% (SD1.4) (range 5.5-9.9) Mean throughtout pregnancy 6.5% (SD1.1) (range 5.5-9.3)

5. Gestation At Delivery Pre-term <37 weeks

6. Type of labour

7. Method of delivery

8. Birthweight

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

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

11. Perinatal Mortality 1 Intrauterine death