NICE guidance for neonatal care after diabetes in pregnancy

Diabetes, especially in pregnancy, is an increasing public health concern and a growing challenge for clinicians. Fetal and perinatal morbidity and mortality remain high. Some complications are severe, for example stillbirth and congenital anomalies, while others are transient and unlikely to lead to long-term harm if managed according to published guidelines. On the other hand our concern as clinicians sometimes results in avoidable complications, for example policies of ‘routine’ admission of a baby to a neonatal unit. Therefore, planning for neonatal management must start in advance of delivery, involve all groups of professionals, and be centred on the needs of the mother and baby.

Important recent publications (CEMACH Confidential Enquiry reports and NICE guid