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…
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,…
Screening for hyperglycemia in pregnancy
BACKGROUND The questions posed in the case history have been addressed in several studies. Not all studies have reached the same conclusions about the same issue. Some have questioned the…
