Affiliation:
1. North Tees and Hartlepool NHS Foundation Trust UK
Abstract
AbstractDiabetes is a worldwide problem that has a growing prevalence. With advancing maternal age and rising rates of obesity, diabetes in pregnancy is on the rise. The complications it brings to antenatal, intrapartum and postnatal care are causing an increase to maternal and fetal mortality and morbidity.Two‐thirds of the women who died in the UK in pregnancy (2018–2020) were known to have a pre‐existing medical condition such as diabetes. This highlights the need for excellence in preconception care and counselling, to enable the optimisation of glycaemic control and therefore pregnancy outcomes.Without a multidisciplinary team approach, the optimisation of glycaemic management of these patients cannot occur, which will increase complications and therefore the overall financial burden to the NHS. Copyright © 2024 John Wiley & Sons.
Subject
Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference25 articles.
1. Births in England and Wales 2022 Office for National Statistics
2. NHS Digital. National Pregnancy in Diabetes Audit Report2020 England and Wales.https://files.digital.nhs.uk/4D/0ABE7F/National%20Pregnancy%20in%20Diabetes%20Audit%202020%20Report.pdf[accessed 05/09/23].
3. NICE. Diabetes in Pregnancy: Management of diabetes and its complications from pre‐conception to the postnatal period.https://www.nice.org.uk/Guidance/NG3[accessed 10/08/23].
4. MBRRACE‐UK Saving Lives Improving Mothers’ Care – Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2019–‐21.https://www.npeu.ox.ac.uk/mbrrace-uk/reports.