Pregnancy in Preexisting Diabetes
نویسنده
چکیده
Data from birth certificates in the United States indicate that maternal diabetes complicates 2%-3% of all pregnancies, but these data may underestimate the true prevalence of maternal diabetes in pregnancy. Two major forms of maternal diabetes may occur during pregnancy: preexisting or "pregestational" diabetes, and gestational-onset or gestational diabetes mellitus (GDM). Only the former is known prior to pregnancy, and this form constitutes ~10% of cases of maternal diabetes. Thus, prevalence rates for pregestational diabetes appear to be in the range of 0.1%-0.3% of all pregnancies. These pregnancies are at risk for both maternal and fetal complications.
منابع مشابه
Risk and recurrence of serious adverse outcomes in the first and second pregnancies of women with preexisting diabetes.
OBJECTIVE Women with preexisting (type 1 or type 2) diabetes experience an increased risk of serious adverse pregnancy outcomes. It is not known, however, how these risks change between the first and second pregnancy and whether there is an increased risk of recurrence. This study describes the absolute risks and recurrence of serious adverse pregnancy outcomes in 220 women with preexisting dia...
متن کاملDiabetes Mellitus and Pregnancy
Abnormal maternal glucose regulation occurs in 3-10% of pregnancies, and gestational diabetes mellitus (GDM), which is defined as glucose intolerance of variable degree with onset or first recognition during pregnancy, accounts for 90% of cases of diabetes mellitus (DM) in pregnancy. However, the rising prevalence of diabetes mellitus—21 million people (7% of the population) have some form of d...
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OBJECTIVE Determine the independent association between time-specific placental growth factor (PIGF)-a marker of placental vasculature-and infant birth weight in offspring of mothers with preexisting type 1 and 2 diabetes. METHODS A total of 150 women were recruited from Joslin Diabetes Center's/Beth Israel Deaconess Medical Center's Diabetes in Pregnancy Program. PlGF was measured up to four...
متن کاملFalling insulin requirements are associated with adverse obstetric outcomes in women with preexisting diabetes.
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متن کامل13. Management of Diabetes in Pregnancy.
Preexisting Diabetes c Starting at puberty, preconception counseling should be incorporated into routine diabetes care for all girls of childbearing potential. A c Family planning should be discussed and effective contraception should be prescribed and used until a woman is prepared and ready to become pregnant. A c Preconception counseling should address the importance of glycemic control as c...
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