Masthead small

SMFM Special Statement: Updated checklist for antepartum care of pregestational diabetes mellitus

Pregnancy in women with pregestational diabetes mellitus (type 1 and type 2) carries increased risks of
both maternal and neonatal complications due to maternal hyperglycemia and underlying chronic
conditions and comorbidities. To reduce the risk of pregnancy complications or to mitigate their effects,
numerous interventions are recommended at various times during pregnancy. Since 2016, the Society
for Maternal-Fetal Medicine has posted a Diabetes Antepartum Checklist on its website. An updated
version of this checklist is presented here, along with suggestions for implementation into the standard
antenatal care of patients with type 1 and type 2 diabetes mellitus.