ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Victoria L Rudland; Sarah A L Price; Ruth Hughes; Helen L Barrett; Janet Lagstrom; Cynthia Porter; Fiona L Britten; Sarah Glastras; Ian Fulcher; Peter Wein; David Simmons; H David McIntyre; Leonie Callaway

doi:10.1111/ajo.13265

ADIPS 2020 guideline for pre-existing diabetes and pregnancy

Aust N Z J Obstet Gynaecol. 2020 Dec;60(6):E18-E52. doi: 10.1111/ajo.13265. Epub 2020 Nov 16.

Authors

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

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.

MeSH terms

Diabetes Mellitus, Type 1 / complications
Diabetes Mellitus, Type 1 / therapy
Diabetes Mellitus, Type 2 / complications
Diabetes Mellitus, Type 2 / therapy
Female
Humans
Practice Guidelines as Topic*
Pregnancy
Pregnancy in Diabetics* / therapy