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Maternity

How to refer a woman who has diabetes and is pregnant to specialist care
Please phone your referral through to the diabetes midwife, Rachel Crowley. She will call the patient and take it from there.

Diabetes Specialist Midwife line: 0118 3227245.

Antenatal Diabetes Clinic
Diabetes in pregnancy, whether pre-existing diabetes or gestational diabetes, is associated with a small increased risk in adverse pregnancy outcomes, as well as an increased risk of induction of labour, caesarean section and neonatal hypoglycaemia. Good diabetes care during pregnancy is vital to obtaining the best possible outcomes, minimising the risk to both mother and baby. The antenatal diabetes clinics adopt a multi-disciplinary approach as this has been shown to be the best model for organising antenatal diabetes care.

Referral

Pre-existing diabetes
For those with pre-existing diabetes, diet controlled or on any form of hypoglycaemic treatment, women can self-refer to the Diabetes Specialist Midwives (DSM) via 0118 322 7245 (secure, confidential voicemail available) as soon as they have a positive pregnancy test. Alternatively this can be done by their GP or community midwife via the same telephone number. As a minimum, please provide the woman’s name, date of birth and contact details. Referrals can also be made by letter to Miss Pat Street, Consultant Obstetrician, Maternity Unit, Royal Berkshire Hospital, London Road, Reading RG1 5AN.

Gestational diabetes
Women at high risk for gestational diabetes should be screened according to local guidelines. If this screening is arranged by the antenatal clinic, the clinic will communicate the result to the woman and arrange follow-up where appropriate. Where screening is arranged by a GP or community midwife, referral to the antenatal clinic is required following a positive result. The results will not be passed to the clinic automatically. Please refer women to the DSM by telephone via 0118 322 7245 Please provide the woman’s name, date of birth and contact details.

All women with diabetes should be booked by their community midwife in the usual way. The usual procedure should also be followed for booking second trimester screening for Down’s syndrome.

Referral Criteria
The only criteria for referral are that the patient:

  1. Is pregnant
  2. Has diabetes mellitus, including gestational diabetes mellitus.

Clinic Details
Clinics take place in Level 2 of the Maternity block. On Tuesday morning each week there is a clinic where those with T2DM or gestational diabetes controlled by diet or oral medication will be seen. On Thursday afternoons there is a clinic where all patients treated with insulin will be seen.

RBFT diabetes information is available here.