Diabetic Pregnancy Service
The Diabetic Pregnancy Service is a specialised service for
women who either have diabetes prior to pregnancy (type 1 or type
2) or who develop diabetes during pregnancy (gestational
The service is provided by a team of obstetricians,
diabetologists, specialised diabetes midwives, a dietician,
specialised diabetes nurses and a health care support worker. Care
is focussed on the individual needs of each woman so that at each
visit women will see the relevant members of the team and any other
member the woman feels she needs to see. An ultrasound scan may
also be performed at the same visit.
Dr Michael Maresh, Consultant Obstetrician
Dr Jenny Myers, Consultant Obstetrician
Dr Prasanna Rao-Balakrishna, Consultant Diabetiologist
Susan Quinn, Specialist Midwife
Gretta Kearney, Specialist Midwife
Charlotte Jones, Specialist Midwife
Sue Curtis, Dietitian
The main clinic is held in the Antenatal Department on a Tuesday
afternoon with a second smaller clinic on a Friday morning. However
the specialist midwives are available every weekday to see urgent
cases, make initial assessments of new referrals and discuss with
women over the telephone any problems they are having with their
control. Telephone contacts are an integral part of the service
which may also help to reduce the number of clinic visits.
Conditions dealt with
Women with diabetes who are planning on becoming pregnant or who
are already pregnant and women who have an abnormal glucose
tolerance test in pregnancy.
Women who have previously had gestational diabetes should be
discussed with one of the specialist diabetes midwives prior to
Women with diabetes may need admission to hospital if there are
major difficulties in controlling their diabetes and the same team
will care for them on the antenatal ward. A member of the team
routinely visits the postnatal ward to review any mothers who have
delivered to ensure their diabetes care is optimised prior to them
As it is very important that women who have diabetes become
pregnant when their diabetes is well controlled and they are on the
right medication, the team see women prior to pregnancy.
Research and development
The clinic is a leading centre in the UK for research in
diabetic pregnancy and has been and continues to be involved in
major projects so that women may be invited to participate in
these. The service also offers the latest technology and has many
women using insulin pumps.
How can I access this service?
Women who are known to the service may refer themselves or be
referred by their GP, midwife or obstetrician. They should contact
a Diabetes Specialist Midwife on (0161) 276 6408. Alternatively
they may telephone (0161) 276 6426 (PA to Dr Maresh and Dr Myers).
Women are also sometimes identified at booking, in which case the
booking midwife also refers to clinic.