Pregnancy in women with pre-existing diabetes: management issues
| Autor: | Stephen A. Walkinshaw |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Population Pregnancy in Diabetics Type 2 diabetes Prenatal care Congenital Abnormalities Fetal Macrosomia Pregnancy Diabetes mellitus Fetal macrosomia medicine Humans education Fetal Death Fetus education.field_of_study business.industry Obstetrics Incidence (epidemiology) Infant Newborn Pregnancy Outcome Prenatal Care medicine.disease Hypoglycemia Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Seminars in fetalneonatal medicine. 10(4) |
| ISSN: | 1744-165X |
| Popis: | Despite significantly increased input from multidisciplinary teams during the antenatal period, pregnancy outcomes for women with type 1 and type 2 diabetes remain substantially worse than that of the general obstetric population. Regarding fetal congenital malformations, these are likely to be preventable only by strategies introduced prior to pregnancy. The relationship between fetal macrosomia and glycaemic control is complex, and reducing the incidence of macrosomia may be possible only by novel management strategies that address the wide fluctuations in blood glucose over a 24-hour period. Irrespective of pregnancy diabetes control, the complication of neonatal hypoglycaemia can largely be avoided by tight control of glucose values during labour and delivery. The continued lack of understanding of the pathophysiology of late fetal death in diabetic pregnancies and the shortcomings of current methods of antenatal fetal surveillance make it likely that infants of diabetic mothers will continue to be delivered preterm, with the attendant implications of neonatal morbidity and cost. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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