||I work as a Consultant Diabetologist based at the Newcastle
Diabetes Centre in Newcastle upon Tyne in the north east of England. I have been involved
in study of outcomes of diabetic pregnancy since 1990. In 1990 we thought that the
outcome of diabetic pregnancy had improved and that the main problem was the high rate of
caesarean section. We assumed from the published data that the outcome of diabetic
pregnancy as measured by perinatal mortality and congenital malformations rate was similar
to that of the non-diabetic general population. An audit of outcome of diabetic pregnancy
showed this assumption was false.