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National Pregnancy In Diabetes Annual Report 2016Audit
- Publication Date:
- 12 Oct 2017
- Geographic Coverage:
- Wales, England
- Geographical Granularity:
- Hospital and Community Health Services
- Date Range:
- 01 Jan 2016 to 31 Dec 2016
The National Pregnancy in Diabetes (NPID) audit is part of the National Diabetes Audit (NDA) programme and is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). The NDA is managed by the NHS Digital in partnership with Diabetes UK and is supported by Public Health England (PHE).
The audit is a measurement system to support improvement in the quality of care for women with diabetes who are pregnant or planning pregnancy and seeks to address the three key questions:
- Were women with diabetes adequately prepared for pregnancy?
- Were adverse maternal outcomes during pregnancy minimised?
- Were adverse fetal/infant outcomes minimised?
This report includes data on women with diabetes with completed pregnancies between 1 January 2016 and 31 December 2016 and where the data was submitted to the audit by 10 February 2017. In 2016, 3,304 pregnancies in 3,297 women with diabetes were recorded in 172 antenatal diabetes services.
Antenatal Care NICE Guideline: Offer immediate contact with a joint diabetes and antenatal clinic
24 per cent of women with Type 1 diabetes and 42 per cent of women with Type 2 diabetes did not present to the joint diabetes antenatal team before 10+0 weeks gestation.
Delivery Type NICE Guideline: Advise elective birth by induction of labour or elective C-section
Delivery by caesarean section was common (65 per cent of Type 1 and 57 per cent of Type 2).
Maternal hypoglycaemia and ketoacidosis:
Almost one in 10 women with Type 1 diabetes had at least one hospital admission for severe hypoglycaemia.
Ketoacidosis, a high risk for mother and fetus, occurred in 2.7 per cent of women with Type 1 diabetes.
The documents published along side this report are below, they consist of an excel local level report as well as supporting information.