IDDM

• Associated with increased perinatal mortality - congenital anomalies / pre-term delivery

• Macrosomia associated with increased risk of shoulder dystocia

• No role for oral hypoglycaemics in the management of IDDM in pregnancy




• Increased risk of neonatal hypoglycaemia due to hyperinsulinaemia

Increased risk of IUGR - associated with maternal hypertension + superimposed pre-eclampsia and nephropathy

• High risk labour / delivery - home delivery NOT appropriate

• Polycythaemia is a recognised neonatal complication