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The Regis Medical Centre developed a project to ensure that women of child bearing age with diabetes received pregnancy and contraception advice in order to improve pregnancy outcomes. By using the practice’s existing technology a simple ‘pop-up’ system was established to notify the healthcare professional when to give advice.
A service deficit was identified as a result of feedback from patients who developed gestational diabetes. Patients requested a booklet containing all relevant information, including space for personal notes and in a format that could be easily adapted or updated. Healthcare professionals worked together with service users to produced the gestational diabetes booklet which is currently in use.
The new Diabetes in Pregnancy Notes have been developed following wide regional consultation with professionals as well as mothers with diabetes. The notes are used in addition to the hand held Pregnancy Notes, for women who have diabetes either pre-existing or gestational. This ensures the expectant mother is given additional information related to her specific care requirements
This service provides information directly to women so that they may make informed choices regarding planning a pregnancy.
The course is run for women with type 1 diabetes who express the wish to plan a pregnancy and for women attending the diabetes antenatal clinic who are in the early stages of pregnancy. The project aim is by the end of the course each participant will have the confidence to control their diabetes and to plan a pregnancy.
Summary: An integrated care pathway for diabetes and pregnancy that includes clinical guidelines and advice for healthcare professionals working with pregnant and pre pregnant women with diabetes.
Somalian and Urdu and Bengali speaking South Asian Communities
A preconception clinic run for women with pre-existing diabetes or previous gestational diabetes.
The clinic sessions include medicines management, education and information regarding the need for good glycaemic control.
Several methods including awareness days have been used to raise referrals, including self referrals to the clinic.
A variety of methods have been used to engage with women from various minority ethnic communities within the area.