Index

Adoption, 43
Anomalies, congenital see Congenital malformations
Antenatal care, standards, 15–16
Apgar scores, 39
Audit of standards of care, 3, 4
	Women with pre-gestational diabetes, 1, 2

Babies
	Condition at birth, 39
	Description, 37–40
	Feeding, 44–45
		difficulties, 43
		management, 46
		timing, 44–45
	Gestation, 37–38
	Sex, 37
	Special care, 44
	Standards of care, 42–48
	Term, 43
Birth trauma, 37, 38–39, 53
Birth weight, 38, 53
Blood glucose testing, 17, 23–25, 46–48
	Methods, 47
Brachial plexus injury, 39
Breastfeeding, 45–46, 54
British Paediatric Surveillance Unit, 39
Bruising, 39

Caesarean section, 18, 30, 39, 53
	Emergency, 30, 39
	Indications, 28–29
	Preterm, 31, 53
Clinics
	Multidisciplinary, 2
Confidential Enquiry into Maternal and Child Health (CEMACH), 1
	Diabetes programme of care, 2, 35
Congenital malformations, 1, 2, 3, 15, 32–33, 34, 50
	Groupings, 66
	Minor anomalies, 67
	Rate, 1
Corticosteroids, 16–17
Cyanotic episodes, 43

Data collection, 2
	Limitations, 4
Delivery
	Characteristics, 27–31
	Facilities at, 42
	Mode, 18, 28
	Preterm, 29–30
	Standards of care, 18–20
	Timing, 18
Deprivation score, 11
Dextrose, intravenous, 19
Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND), 52
Diabetes multidisciplinary resource group, 4
Dose Adjustment for Normal Eating (DAFNE), 52

Erb's palsy, 39, 40, 53
Ethnic minority groups, 1, 11, 12–13, 50
European Surveillance of Congenital Anomalies (EUROCAT), 3, 33, 34

Fetal blood sampling, 19
Fetal losses, 3
Folic acid supplementation, 15, 34, 50, 51–52
Fractures, 39
Free-text information, 4

Glucagon kit, 17–18
Glycosated haemoglobin (HbA_1c) measurement, 17, 22, 52–53
Glycaemic control, 17–18, 22–26, 50, 52–53
	Tests, 23–24
	Values, 24–25

Haemocue^®, 47
Health and Social Care Act, 3
High-dependency care, 43
Hyperinsulinism, 46
Hypoglycaemia, 34, 37, 38, 43, 44, 45, 46, 47
Hypoglycaemic episodes, 4

Immune system, 1
Index of Multiple Deprivation (IMD) score, 11
Infant feeding, 44–45
	Difficulties, 43
	Management, 46
	Timing, 44–45
Infants see Babies
Information leaflets, 2
Insulin, 1
	Intravenous, 19
	Resistance, 1
Intensive care, 43
International Classification of Diseases (ICD), 3, 66
Intrapartum fetal heart monitoring, 19
Ischaemic heart disease, 13

Jaundice, 44

Labour
	Characteristics, 27–31
	Induction, 27–28, 30
	Onset, 27
	Standards of care, 18–20

Macrosomia, 37, 38
Maternal deaths, 13
Maternity services, 1
Melanoma, malignant, 13
Mitral valve replacement, 13

National Service Framework (NSF) for Diabetes, 4, 27, 54
Neonatal
	Care, 43, 54
	Complications, 53–54
	Death, 32, 37
		definition, 3
Neonatal mortality rate, 1, 2
Neonatal unit
	Admission, 40, 42, 44
	Routine admission, 43–44, 54
Neural tube defects, 15, 52

Pancreas, 1
PBS Diabetes Population Prevalence Model, 6
Perinatal death, definition, 3
Perinatal mortality rate, 1, 2, 3, 32, 33–34, 35, 50
Preconception care, 14–15, 20, 51–52
Pre-eclampsia, 30
Pre-gestational diabetes, 1
Pregnancy
	Care during, 20
	Diabetes in, prevalence, 6–8, 51
	Loss
	Outcomes, 1, 32–35
	Terminations, 3, 51
Prematurity, 37, 43
Pre-pregnancy
	Care, 2
	Counselling, 50
Preterm delivery, 20–30, 31, 53
Pulmonary embolism, 13

Reagent strips, 47
Renal function, 4
Respiratory distress, 34, 37, 43
Retinal assessment, 18
Rupture, uterine, 30

St Vincent Declaration, 1, 26, 50, 53, 54
Scottish Intercollegiate Guidelines Network (SIGN), 4
Separation of mother and baby, 42–43
Sepsis, 13, 43
Shoulder dystocia, 30, 37, 38–39, 40, 53
Special care, babies, 44
Standards of care
	Babies, 42–48, 68–69
	Mother, 14–20, 68–69
Steroid therapy, 16–17
Super output area, 11
Stillbirth, 53
	Definition, 3
	Rate, 2

Transitional care nursery, 54
Trauma, birth, 37, 38–39, 53
Triplets, 32
Twins, 32
Type 2 diabetes, 11, 50
	Prevalence in pregnancy, 51, 54

Ultrasound scan
	First-trimester dating, 15–16
Uterine rupture, 30

Vaginal delivery, 31
	Assisted, 39
	Spontaneous, 18

Women with diabetes
	Characteristics, 10–11