Why carry out this study?

Pre-gestational, type 1 and type 2 diabetes are associated with adverse neonatal outcomes.

Previous studies found that adverse maternal outcomes are still high for women with pre-existing diabetes mellitus.

The aim was to study the pre-gestational diabetes impact on pregnancy outcomes in a large maternity hospital with a multidisciplinary team with the intention to improve diabetes in pregnancy outcomes.

What was learned from the study?

Women with pre-gestational diabetes were overweight and older with long-standing diabetes mellitus; inadequate initial diabetes control significantly improved during pregnancy.

In our study 32% women with type 1 diabetes were treated with continuous subcutaneous insulin infusion (CSII) in pregnancy.

With an appropriate multidisciplinary team approach, we can minimise adverse outcomes and identified areas for improvement in delivery of care in the future.