Long-term implications for the baby of the hyperglycemic mother
BACKGROUND Once the care of the newborn is over and the ostensibly “healthy” baby of a mother with hyperglycemia during pregnancy is discharged to his/her devoted family, the long wait…
Rationale for treatment of hyperglycemia in pregnancy
BACKGROUND The adverse effects of hyperglycemia on the fetus have been recognized since women with diabetes first began to survive and reproduce. Very high rates of late pregnancy fetal loss,…
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…
Obstetric management of labor, delivery, and the postnatal period
BACKGROUND Obstetric intervention in pregnant women with pregestational diabetes prior to spontaneous labor has been standard practice for decades. The objectives were, and still are, to avoid the fetus dying…
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…
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…
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…
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…
