Hospital guidelines for the administration of ANC did not recommend administration prior to elective caesarean section. Guidelines for management of maternal hyperglycaemia did not change during the study period and recommended maintaining BGC between 3.5 and 7 mmol/L. Insulin administration was recommended after ANC administration if the BGC exceeded 7 mmol/l on two occasions or exceeded 8 mmol/l once [24]. Hospital guidelines for screening for neonatal hypoglycaemia recommended that all neonates born to mothers with DIP had BGC measured within 1–2 hours of birth, then four hourly until the baby was feeding well and three consecutive measurements were ≥ 2.6 mmol/l [25]. Use of oral dextrose gel for treatment of neonatal hypoglycaemia was introduced in late 2013.

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