Care of the neonate
BACKGROUND The impact of pregestational diabetes and gestational diabetes upon the mother during pregnancy is covered in other chapters. Adverse consequences for the fetus and the neonate arise either from…
Retinopathy in diabetes in pregnancy
BACKGROUND Diabetic retinopathy prevalence at baseline Diabetic retinopathy, a microvascular complication of diabetes, remains a leading cause of acquired blindness in young and middle-aged adults.1 Currently, the estimated general population…
Long-term implications for the mother with hyperglycemia in pregnancy
CASE HISTORY A 39-year-old woman presented to her physician with a 6-month history of polyuria, nocturia, 5 lb (2.3 kg) weight loss and vaginal itch. She was overweight at 168…
Diabetic management in labor, delivery, and post delivery
BACKGROUND Diabetic pregnancy continues to present a substantial risk for both mother and baby.1–4 Much of this risk occurs at the time of labor and delivery. This book has highlighted…
Ketoacidosis in diabetes in pregnancy
PRACTICE POINTS Diabetic ketoacidosis (DKA) is a very serious complication of pregnancy that threatens the mother’s life and the health and viability of the fetus. DKA only occurs in situations…
Contraception for the woman with diabetes
Related posts: Diagnosis of hyperglycemia in pregnancy 5 Delivery and postdelivery care Insulin regimens in pregnancy Screening for hyperglycemia in pregnancy Diabetic management in labor, delivery, and post delivery Retinopathy…
Epidemiologic context of diabetes in pregnancy
BACKGROUND Historically, the study of diabetes in pregnancy has focused on either women with Type 1 diabetes, whose poor obstetric outcomes once led to an editorial entitled “They give birth…
Diabetic nephropathy in pregnancy
BACKGROUND Diabetic nephropathy during pregnancy has been defined as a total urinary protein excretion of greater than or equal to 300 mg/24 h measured prior to pregnancy or greater than…
Prepregnancy care for Type 1 and Type 2 diabetes
BACKGROUND Prepregnancy care for women with diabetes was introduced over 30 years ago and is associated with improved pregnancy outcomes. However, overall pregnancy out-comes remain very poor for women with…
Fetal surveillance in diabetes in pregnancy
BACKGROUND Historically, pregnancy in women with diabetes is associated with high perinatal morbidity and mortality. The fetal and neonatal complications include increased risk of congenital malformations, miscarriage, preterm delivery, stillbirth,…
