The ADIPS pilot National Diabetes in Pregnancy Audit Project

Abstract

We conclude that an international, multicentre audit and benchmarking program is feasible and sustainable, but can be hampered by pre-existing processes, particularly in the initial introduction of electronic methods.

Maternal and neonatal outcomes in the Torres Strait Islands with a sixfold increase in type 2 diabetes in pregnancy over six years

“…18 Demographic, antenatal, intrapartum and 6-8 weeks post-delivery data were gathered from women's and infants' medical records, CBH clinical coding data base, AUSLAB data base and the perinatal data forms. Outcomes planned to be assessed were method of delivery, frequency and type of diabetes, glycaemic control using random blood glucose levels (RBGL) and glycosylated haemoglobin (HbA1c) values, insulin use and dosage, gestation at delivery, birth weight and height, birth head circumference, length of stay of the newborn at the hospital after delivery, Apgar score, neonatal obstetric trauma, hypoxic ischaemic encephalopathy (neonatal neurological manifestations documented in the files), neonatal hypoglycaemia (BGL £ 2.5 mmol ⁄ L), need for IV dextrose, RDS (infants requiring oxygen therapy for >4 h post-delivery and clinical signs of RDS), major congenital malformations, presence of jaundice, the highest recorded bilirubin values, method of feeding and health on discharge (well, dead or ill, the latter being defined as needing close medical follow-up after discharge).…”

A threefold increase in gestational diabetes over two years: Review of screening practices and pregnancy outcomes in Indigenous women of Cape York, Australia

“…10 Antenatal, intrapartum, postdelivery and demographic data were gathered from women's and infants' medical records, AUSLAB laboratory database, the perinatal data collection forms and Queensland Health (QH) clinical coding database. 10 Antenatal, intrapartum, postdelivery and demographic data were gathered from women's and infants' medical records, AUSLAB laboratory database, the perinatal data collection forms and Queensland Health (QH) clinical coding database.…”

“…CBH medical records were audited using the Australasian Diabetes in Pregnancy Society (ADIPS) clinical benchmarking indicators. 10 Antenatal, intrapartum, postdelivery and demographic data were gathered from women's and infants' medical records, AUSLAB laboratory database, the perinatal data collection forms and Queensland Health (QH) clinical coding database. A description of outcome indicators has previously been reported by Falhammar et al 2010.…”

Maternal and neonatal outcomes following diabetes in pregnancy in Far North Queensland, Australia

“…Information was gathered from women's and infants’ medical records, CBH clinical coding database, AUSLAB database and the CBH obstetric database. The Queensland state data were collected from the Queensland Health webpage, 14 the ADIPS National Benchmarking data from their publication and personal communication with the first author 15 . The national regional and remote Indigenous data were obtained from a publication based on data from the National Perinatal Data Collection in 2001–2004 16 …”

“…The aims of this audit were to examine outcomes of DIP in relation to local, all Queensland, 14 Australasian (ADIPS National Benchmarking), 15 and national regional and remote Indigenous 16 . The assumption was that assessment of maternal and neonatal outcomes would show problem areas in DIP service which would enable future planning and improvements.…”