The ADIPS pilot national diabetes in pregnancy benchmarking programme

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dc.contributor.authorImmanuel, Jincy
dc.contributor.authorFlack, Jeff
dc.contributor.authorWong, Vincent W.
dc.contributor.authorYuen, Lili
dc.contributor.authorEagleton, Carl
dc.contributor.authorGraham, Dorothy
dc.contributor.authorLagstrom, Janet
dc.contributor.authorWolmarans, Louise
dc.contributor.authorMartin, Michele
dc.contributor.authorCheung, Ngai Wah
dc.contributor.authorPadmanabhan, Suja
dc.contributor.authorRudland, Victoria
dc.contributor.authorRoss, Glynis
dc.contributor.authorMoses, Robert G
dc.contributor.authorMaple-Brown, Louise
dc.contributor.authorFulcher, Ian
dc.contributor.authorChemmanam, Julie
dc.contributor.authorNolan, Christopher J.
dc.contributor.authorOats, Jeremy J. N.
dc.contributor.authorSweeting, Arianne
dc.contributor.authorSimmons, David
dc.creator.orcidhttps://orcid.org/0000-0003-2020-4791
dc.date.accessioned2023-08-02T21:46:57Z
dc.date.available2023-08-02T21:46:57Z
dc.date.issued2021
dc.descriptionArticle originally published in International Journal of Environmental Research and Public Health, 18(9), 4899. English. Published online 2021. https://doi.org/10.3390/ijerph18094899
dc.description.abstractBackground: To test the feasibility of benchmarking the care of women with pregnancies complicated by hyperglycaemia. Methods: A retrospective audit of volunteer diabetes services in Australia and New Zealand involving singleton pregnancies resulting in live births between 2014 and 2020. Ranges are shown and compared across services. Results: The audit included 10,144 pregnancies (gestational diabetes mellitus (GDM) = 8696; type 1 diabetes (T1D) = 435; type 2 diabetes (T2D) = 1013) from 11 diabetes services. Among women with GDM, diet alone was used in 39.4% (ranging among centres from 28.8–57.3%), metformin alone in 18.8% (0.4–43.7%), and metformin and insulin in 10.1% (1.5–23.4%); when compared between sites, all p < 0.001. Birth was by elective caesarean in 12.1% (3.6–23.7%) or emergency caesarean in 9.5% (3.5–21.2%) (all p < 0.001). Preterm births (<37 weeks) ranged from 3.7% to 9.4% (p < 0.05), large for gestational age 10.3–26.7% (p < 0.001), admission to special care nursery 16.7–25.0% (p < 0.001), and neonatal hypoglycaemia (<2.6 mmol/L) 6.0–27.0% (p < 0.001). Many women with T1D and T2D had limited pregnancy planning including first trimester hyperglycaemia (HbA1c > 6.5% (48 mmol/mol)), 78.4% and 54.6%, respectively (p < 0.001). Conclusion: Management of maternal hyperglycaemia and pregnancy outcomes varied significantly. The maintenance and extension of this benchmarking service provides opportunities to identify policy and clinical approaches to improve pregnancy outcomes among women with hyperglycaemia in pregnancy.en_US
dc.description.sponsorshipJ.I. was supported by a student summer Research Scholarship from Western Sydney University and the Australasian Diabetes in Pregnancy Society. L.M.-B. was supported by NHMRC Practitioner Fellowship #1078477 and NHMRC Investigator Grant #1194698.en_US
dc.identifier.citationThis is the published version of an article that is available at: https://doi.org/10.3390/ijerph18094899. Recommended citation: Immanuel, J., Flack, J., Wong, V. W., Yuen, L., Eagleton, C., Graham, D., Lagstrom, J., Wolmarans, L., Martin, M., Cheung, N. W., Padmanabhan, S., Rudland, V., Ross, G., Moses, R. G., Maple-Brown, L., Fulcher, I., Chemmanam, J., Nolan, C. J., Oats, J. J., … Simmons, D. (2021). The ADIPS pilot national diabetes in pregnancy benchmarking programme. International Journal of Environmental Research and Public Health, 18(9), 4899. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/15326
dc.identifier.urihttps://doi.org/10.3390/ijerph18094899
dc.language.isoen_USen_US
dc.publisherMDPIen_US
dc.rights.holder© 2021 by the authors.
dc.rights.licenseCC BY 4.0
dc.subjectGestational diabetes mellitusen_US
dc.subjectHealthcare benchmarkingen_US
dc.subjectAuditen_US
dc.subjectPregnancyen_US
dc.subjectType 1 diabetes mellitusen_US
dc.subjectType 2 diabetes mellitusen_US
dc.subjectPregnancy outcomesen_US
dc.subjectHbA1cen_US
dc.titleThe ADIPS pilot national diabetes in pregnancy benchmarking programmeen_US
dc.typeArticleen_US

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