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Our new hand held notes aim to facilitate the care of mothers with diabetes in pregnancy, in line with the Perinatal Institute’s well established antenatal, birth and postnatal notes (www.preg.info).

The aim is to standardise and improve care by developing better communication and record of the care received. The notes will provide relevant, accessible information to women with diabetes in pregnancy.

 
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Page 1 - Lists personal details and contact details of the specialist diabetes team who will provide care during the pregnancy. A section is included for recording signatures of everyone who writes in the notes. Contact details for support groups are also listed here.
 
 
Page 2 - First appointment Space to document medical, obstetric history and initial clinical findings ascertained on the first contact with the specialist diabetes team, including medication and any pre-existing medical complications attributable to diabetes. There is a section to record GTT results and rationale for screening for gestational diabetes
 
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Page 3 - Initial blood tests are documented here. There is an information checklist providing prompts for care providers to discuss various topics with the woman e.g. hypoglycaemia, sick day rules. There is a section to document information regarding type of blood glucose monitoring equipment issued and its use has been demonstrated and supervised.
 
 
Page 4 - Information for women about what diabetes is and the members of the specialist health care team.
 
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Pages 5 - This is a free text page for the dietitian to record information following antenatal contacts.
 
 

Page 6 - The Pregnancy planner is a guide to the minimum schedule of appointments that women should have with the health care team. The clinicians can tick who will see her at each appointment. It also contains information for women on what tests and investigations will be offered at each appointment.

 
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Pages 7 - Provides space to record clinical findings from antenatal visits, including insulin type and dose. Additional sheets with a gummed strip are available, to be attached to page 10, so that the documentation flows chronologically
 
 

Page 8 - Information for women about gestational diabetes and pre-existing diabetes and how diabetes is treated in pregnancy. There is also information about diet, testing blood glucose, hypoglycaemic agents and coping with hypoglycaemia.

 
PDF Document
 
Pages 9 - Provides space to record clinical findings from antenatal visits, including insulin type and dose. Additional sheets with a gummed strip are available, to be attached to page 10, so that the documentation flows chronologically
 
 
Pages 10 - Provides space to record clinical findings from antenatal visits, including insulin type and dose. Additional sheets with a gummed strip are available, to be attached to page 10, so that the documentation flows chronologically
 
PDF Document
 

Page 11 - Information for women about gestational diabetes and pre-existing diabetes and how diabetes is treated in pregnancy. There is also information about diet, testing blood glucose, hypoglycaemic agents and coping with hypoglycaemia.

 
 

Page 12 - Information for women about how diabetes is managed during labour and the birth, and about care of her baby following delivery, including infant feeding and infant blood glucose levels. Information about planning subsequent pregnancies is also included.

 
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Page 13 - Intrapartum management plan: Space for the specialist diabetes team to document intrapartum care, including the sliding scale insulin regime.

There is also space to document a post birth plan for women with pre-existing diabetes and one for women with gestational diabetes, including whether to continue recording blood glucose levels post delivery and if so, the frequency of testing.

 
 
Pages 14 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.
 
PDF Document
 
Pages 15 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.
 
 
Pages 16 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.
 
PDF Document
 
Pages 17 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.seen throughout the document.
 
 
Pages 18 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.
 
PDF Document
 
Pages 19 - The home blood glucose monitoring diary: these can be used by women to record their home blood glucose tests results, with space to document agreed targets. The top of page 19 has space to document type of diabetes, date of diagnosis and retinal assessment, if undertaken and can be seen throughout the document. Space is provided to document ultrasound scan and result.
 
 

Page 20 - Postnatal details: Space to document summary details of the birth event and clinical findings from postnatal follow up visit and future management plans..

 
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© Perinatal Institute 2011