1.1. To provide guidance to Midwives, Obstetricians, and the Joint Obstetric/Diabetes Team on the management of a pregnant woman with Type 1 and Type 2 Diabetes Mellitus (DM).
1.2. This guideline makes recommendations for women and people who are pregnant. For simplicity of language the guideline uses the term women throughout, but this should be taken to also include people who do not identify as women, but who are pregnant, in labour and in the postnatal period. When discussing with a person who does not identify as a woman, please ask them their preferred pronouns and then ensure this is clearly documented in their notes to inform all health care professionals.
1.3. This version supersedes any previous versions of this document.
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2.1.1. All women with Diabetes (either Type 1 or Type 2) should book with their own Community Midwife who will continue to see the woman in the normal way throughout pregnancy.
2.1.2. In addition to this they will also have contact with the Diabetes Specialist Midwife and Diabetes Specialist Nurse and will be seen in the Joint Diabetic Antenatal Clinic (ANC) which is run by the Diabetes Consultant/Endocrinologist and the designated Obstetrician. The multidisciplinary team also includes the services of a Dietician.
2.1.3. All diabetic women should be referred without delay, by their midwife to the Joint Diabetic ANC by ringing the Diabetes Specialist Midwife. This clinic is held on a Wednesday morning at the Diabetes and Endocrine Centre on site.
Diabetes Mellitus (pre-existing) in Pregnancy Clinical Guideline V3.0