Good record keeping is a cornerstone of best practice,
and has been emphasised repeatedly by CEMACH and
other surveys on patient safety and avoidable harm.
They are also NMC and CNST requirements.
A recent report by CEMACH reviewing Diabetes in pregnancy
found deficiencies in standards of note-keeping
was a common factor associated with poor maternal and
fetal outcomes (44% obstetric notes & 51% diabetes
notes). The report also highlighted deficiencies in
communication between groups of professionals (56%),
and between professionals and women (47%)
Therefore it is important to have a comprehensive document
which is evidence based and supports care provision.
It should clearly record the care provided, and have
prompts to alert to risk factors according to the NICE
The new Diabetes in Pregnancy Notes, have been developed
to be used in addition to the 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,
whilst ensuring she is still given information on what
to expect from other aspects of antenatal care; such
as screening tests. These notes aim to facilitate a
partnership between the principal stakeholders in antenatal
care – mother, baby and the multi disciplinary
team engaged in providing care for expectant mothers.
The notes place emphasis on patient safety and informed
In-House Development Team
Russels Hall Hospital
|| Specialist Midwife
Diabetes Midwife Specialist
||Type setting and layout
External Development Team
|Dr Aresh Anwar
Consultant Physician, Diabetes & Endocrinology
University Hospital Coventry & Warwickshire.
|Dr Philip Dyer
|Dr Louise Farrall
|| Advanced Dietitian for Maternal Health, Community
St Patrick's Centre, Birmingham.
|Dr Sharon Jones
||Consultant Physician, Diabetes & Endocrinology
Good Hope Hospital, Sutton Coldfield
|| Business Manager/Head of Midwifery, Perinatal
|Dr Wendy Oakley
Queens Hospital, Burton-on
|| West Midlands Regional Manager
Nurse Consultant in Diabetes, Diabetes Centre,