Table 3

CPG characteristics

1 AUS RWH2 AUS KEMH3 NZ ADHB4 NZ HVDHB5 CA CDA6 UK NUH7 UK BHT
How described by the authorsA guidelineClinical practice guidelineGuidelineCare policyClinical practice guidelineGuidelineGuideline
Evidence and/or expert consensus basedEvidenceEvidenceEvidenceEvidenceEvidence and consensusEvidenceEvidence
Clinical indicationWomen with GDMDiabetes in pregnancyWomen with diabetes in pregnancyPre-existing and gestational diabetesPre-existing and gestational diabetesPregnant women with diabetes (incl GDM)Pregnant women with diabetes and GDM
Target usersHealth professionals only (not further defined)Not definedAll clinicians in maternity, all access holdersAll midwives, obstetricians, all access holders, dieticians, endocrinologists, diabetes nurses, dieticianNot statedAll midwives, diabetic nurses. All medical staffAll Trust staff working in whatever capacity
Stakeholders involvedNot disclosedNot disclosedDiabetes team (not further defined)Not disclosedBroad clinical team (individual clinicians)Broad clinical team (specialties only)Broad clinical team (individual clinicians)
Interventions includedEducation, self-monitoring, diet changes, prescription medication, referral to high-risk team if certain criteria are met, two weekly visits, elective delivery from 38 weeks if medicatedEducation, self-monitoring, diet changes, prescription medication, referral to high-risk team if certain criteria are met, two weekly visits, elective delivery from 38 weeks if medicated, elective cesarean for macrosomiaEducation, self-monitoring, diet changes, prescription medication, referral to high-risk team if certain criteria are met, 2–3 weekly visits, elective delivery from 38 weeks if medicated or uncontrolled, delivery by 41 weeks in GDMEducation, self-monitoring, prescription medication, diet changes, referral to high-risk team if certain criteria are met, 2–4 weekly visits, delivery by 41 weeks unless clinical indications for earlier deliveryEducation, self-monitoring, diet changes, prescription medicationEducation, self-monitoring, prescription medication, diet changes, elective delivery from 37 weeks if pre-existing, 38 weeks if uncontrolled GDM or GDM on medication, no later than 40+6 if GDMEducation, self-monitoring, diet changes, prescription medication, referral to high-risk team if certain criteria are met, community pathway established, at least two weekly visits, elective delivery from 37 weeks if pre-existing, 39 weeks if GDM and medicated. Deliver by 40+6 if GDM
Includes in-labour managementYesComprehensiveYesNoYesNoComprehensive
Includes antenatal steroid managementYesYesComprehensiveYesNoNoComprehensive
Relied on/Referenced NICENoReferencedNoReferencedReferencedRelied onRelied on
  • ADHB, Auckland DHB; BHT, Barts Health Trust; CDA, Canadian Diabetic Association; CPG, clinical practice guideline ; GDM, gestational diabetes mellitus; HVDHB, Hutt Valley DHB; KEMH, King Edward Memorial Hospital; NICE, The National Institute for Health and Care Excellence; NUH, Nottingham University Hospital; RWH, Royal Women’s Hospital.