ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Victoria L Rudland^{1

2}, Sarah A L Price^{3

4

5

6}, Ruth Hughes⁷, Helen L Barrett^{8

9}, Janet Lagstrom^{10

11

12

13}, Cynthia Porter¹⁴, Fiona L Britten^{15

16

17}, Sarah Glastras^{2

18}, Ian Fulcher¹⁹, Peter Wein^{5

20}, David Simmons^{21

22}, H David McIntyre^{17

23}, Leonie Callaway^{17

24

25}

Affiliations

¹ Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, New South Wales, Australia.
² Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
³ Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
⁴ Department of Diabetes, Royal Women's Hospital, Melbourne, Victoria, Australia.
⁵ Mercy Hospital for Women, Melbourne, Victoria, Australia.
⁶ Faculty of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
⁷ Department of Obstetrics and Gynaecology, University of Otago, Christchurch, New Zealand.
⁸ Department of Endocrinology, Mater Health, Brisbane, Queensland, Australia.
⁹ Mater Research, The University of Queensland, Brisbane, Queensland, Australia.
¹⁰ Green St Specialists Wangaratta, Wangaratta, Victoria, Australia.
¹¹ Denis Medical Yarrawonga, Yarrawonga, Victoria, Australia.
¹² Corowa Medical Clinic, Corowa, New South Wales, Australia.
¹³ NCN Health, Numurkah, Victoria, Australia.
¹⁴ Geraldton Diabetes Clinic, Geraldton, Western Australia, Australia.
¹⁵ Department of Obstetric Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
¹⁶ Mater Private Hospital and Mater Mother's Private Hospital, Brisbane, Queensland, Australia.
¹⁷ Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
¹⁸ Department of Diabetes, Endocrinology and Metabolism, Royal North Shore Hospital, Sydney, New South Wales, Australia.
¹⁹ Liverpool Hospital, Sydney, New South Wales, Australia.
²⁰ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
²¹ Western Sydney University, Sydney, New South Wales, Australia.
²² Campbelltown Hospital, Sydney, New South Wales, Australia.
²³ Mater Health, Brisbane, Queensland, Australia.
²⁴ Women's and Children's Services, Metro North Hospital and Health Service District, Brisbane, Queensland, Australia.
²⁵ Women's and Newborn Services, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

PMID: 33200400
DOI: 10.1111/ajo.13265

ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Victoria L Rudland et al. Aust N Z J Obstet Gynaecol. 2020 Dec.

. 2020 Dec;60(6):E18-E52.

doi: 10.1111/ajo.13265. Epub 2020 Nov 16.

Authors

Affiliations

¹ Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, New South Wales, Australia.
² Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
³ Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
⁴ Department of Diabetes, Royal Women's Hospital, Melbourne, Victoria, Australia.
⁵ Mercy Hospital for Women, Melbourne, Victoria, Australia.
⁶ Faculty of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
⁷ Department of Obstetrics and Gynaecology, University of Otago, Christchurch, New Zealand.
⁸ Department of Endocrinology, Mater Health, Brisbane, Queensland, Australia.
⁹ Mater Research, The University of Queensland, Brisbane, Queensland, Australia.
¹⁰ Green St Specialists Wangaratta, Wangaratta, Victoria, Australia.
¹¹ Denis Medical Yarrawonga, Yarrawonga, Victoria, Australia.
¹² Corowa Medical Clinic, Corowa, New South Wales, Australia.
¹³ NCN Health, Numurkah, Victoria, Australia.
¹⁴ Geraldton Diabetes Clinic, Geraldton, Western Australia, Australia.
¹⁵ Department of Obstetric Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
¹⁶ Mater Private Hospital and Mater Mother's Private Hospital, Brisbane, Queensland, Australia.
¹⁷ Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
¹⁸ Department of Diabetes, Endocrinology and Metabolism, Royal North Shore Hospital, Sydney, New South Wales, Australia.
¹⁹ Liverpool Hospital, Sydney, New South Wales, Australia.
²⁰ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
²¹ Western Sydney University, Sydney, New South Wales, Australia.
²² Campbelltown Hospital, Sydney, New South Wales, Australia.
²³ Mater Health, Brisbane, Queensland, Australia.
²⁴ Women's and Children's Services, Metro North Hospital and Health Service District, Brisbane, Queensland, Australia.
²⁵ Women's and Newborn Services, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

PMID: 33200400
DOI: 10.1111/ajo.13265

Abstract

This is the full version of the Australasian Diabetes in Pregnancy Society (ADIPS) 2020 guideline for pre-existing diabetes and pregnancy. The guideline encompasses the management of women with pre-existing type 1 diabetes and type 2 diabetes in relation to pregnancy, including preconception, antepartum, intrapartum and postpartum care. The management of women with monogenic diabetes or cystic fibrosis-related diabetes in relation to pregnancy is also discussed.

Keywords: Australia; New Zealand; diabetes mellitus; high-risk pregnancy; postnatal care; practice guideline; preconception care; pregnancy; type 1 diabetes; type 2 diabetes.

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Comment in

ADIPS position paper on pre-existing diabetes and pregnancy.
Rudland VL, Price SAL, Callaway L. Rudland VL, et al. Aust N Z J Obstet Gynaecol. 2020 Dec;60(6):831-839. doi: 10.1111/ajo.13266. Epub 2020 Nov 2. Aust N Z J Obstet Gynaecol. 2020. PMID: 33135798
Diabetes and pregnancy.
Shub A. Shub A. Aust N Z J Obstet Gynaecol. 2020 Dec;60(6):829-830. doi: 10.1111/ajo.13275. Aust N Z J Obstet Gynaecol. 2020. PMID: 33373054 No abstract available.

References

1. Wei HJ, Young R, Kuo IL et al. Abnormal preconception oral glucose tolerance test predicts an unfavorable pregnancy outcome after an in vitro fertilization cycle. Fertil Steril 2008; 90(3): 613-618.
1. Wei D, Zhang B, Shi Y et al. Effect of preconception impaired glucose tolerance on pregnancy outcomes in women with polycystic ovary syndrome. J Clin Endocrinol Metab 2017; 102(10): 3822-3829.
1. Australian Institue of Health and Welfare. Diabetes in Pregnancy: Its Impact on Australian Women and Their Babies. Diabetes Series Number 14 Cat no CVD 52. Canberra: AIHW, 2010. [Accessed 19 Dec 2019.] Available from URL: https://www.aihw.gov.au/reports/diabetes/diabetes-pregnancy-impact-on-wo...
1. Shand AW, Bell JC, McElduff A et al. Outcomes of pregnancies in women with pre-gestational diabetes mellitus and gestational diabetes mellitus; a population-based study in New South Wales, Australia, 1998-2002. Diabet Med 2008; 25(6): 708-715.
1. Falhammar H, Davis B, Bond D, Sinha AK. Maternal and neonatal outcomes in the Torres Strait Islands with a sixfold increase in type 2 diabetes in pregnancy over six years. Aust N Z J Obstet Gynaecol 2010; 50(2): 120-126.

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ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Affiliations

ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Authors

Affiliations

Abstract

Comment in

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical