This report was published May 2010 and was widely
circulated within the West Midlands to each Maternity
Unit as well as to Clinicians, Directors of Public
Health and PCT Commissioning, Medical Directors and
other interested parties.
This report represents the product of four years
of work based on the West Midlands cohort study and
confidential enquiry into diabetes in pregnancy.
The regional focus, alongside the national CEMACH
enquiry, arose from the need to address particular
challenges, such as our high rates of type 2 diabetes,
inequality and social deprivation. In this comprehensive
report, the results from the WM cohort and the confidential
case reviews are set out in detail together with
additional analyses, and recommendations are made
on the actions needed.
One strong message is the need to extend good care
to pre-pregnancy, and hence into the community, to
engage public health and primary care in prevention
and in equitable provision of the best possible service
for expectant mothers with diabetes.
The publication of this report is an important milestone
towards using local evidence and expertise to inform
commissioning and health service planning. This report
has influenced DiPAG (Diabetes in Pregnancy Advisory
Group) to co-ordinate regional evidence based projects
to improve standards and care.
We would like to express our appreciation to the
women who participated in the study as well as all
the healthcare professionals involved in producing
||Clinical Lead, Diabetes in Pregnancy Project,
Consultant Obstetrician & Gynaecologist - Heartlands Hospital (to 2009)
||Diabetes Project Midwife, Perinatal Institute
||Director, Perinatal Institute; Chair DiPAG