- To compare data with NICE standards

- To educate and increase awareness of staff

- To make service improvement recommendations to improve patient care

 

 

- Retrospective study conducted across United Lincolnshire Teaching Hospitals(ULTH)
    140 cases in Lincoln County Hospital
    72 cases in Pilgrim Hospital

- Time period of data analysis January 2023-April 2023

- Comparing current practices to previous studies (2019 and 2021) to assess progress and close the study loop

 

Results

- GDM prevalence across ULHT in 2019 -785 : 17.4% of total deliveries
- GDM prevalence across ULHT in 2021 – 744: 17% of total deliveries
- Prevalence of GDM during our study period, Jan –April 2023: 15% (212/1411)
- Approximately 69% of women with GDM were diagnosed between 25 and 36 weeks of gestation, while 21% were diagnosed before 25 weeks.
- Management consisted of dietary control in 55% of cases, while 45% required pharmacological treatment, including metformin and insulin.
- Compliance with NICE standards was high, with 95% of women receiving serial growth scans and the majority having documented discussions on delivery mode      and timing
- Timing of delivery followed local and national guidelines, women managed on diet-only delivering by 41 weeks, on Metformin by 40 weeks, and on Insulin by 39       weeks.
- Macrosomia was reported in 9% of cases, which was lower in well-controlled GDM.- Neonatal unit (NNU) admissions showed reduced rates of 11% in GDM             pregnancies.
- These findings reflect the importance of maintaining optimal glycaemic management to improve outcomes