Outcome of pregnancy in women with insulin dependent diabetes. Centralisation of care leads to better outcome.

Centralisation of care leads to better outcome Editor—The finding of a persistently poor outcome of pregnancy in women with insu› lin dependent diabetes in two (northern) English regions is an important statement of the problem. 12 Both studies provide figures and show outcomes that are no different from those widely reported in the past. Unfortunately, neither give evidence of any degree of centralisation of obstetric or diabetic care, with on›site neonatal intensive care, although this is a proved means of improving the outcome of pregnancy for diabetic mothers. 3 The St Vincent declara›