Antenatal management of the diabetic pregnancy

Eleanor Jarvie and Scott M Nelson

in Diabetes in Pregnancy

Published on behalf of Oxford University Press

ISBN: 9780199593033
Published online January 2012 | e-ISBN: 9780191730771 | DOI:

Series: Oxford Diabetes Library

Antenatal management of the diabetic pregnancy

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• Pre-existing diabetes is associated with an increased risk of miscarriage, congenital abnormalities, intrauterine death, macrosomia, pre-term delivery (spontaneous and iatrogenic), shoulder dystocia, and perinatal morbidity and mortality. • The incidence of congenital anomalies is directly related to maternal glycaemic control. • Optimal detection of deviant fetal growth and macrosomia are by measurement of abdominal circumference. • Shoulder dystocia is more frequent at lower birth weights in pregnancies complicated by maternal diabetes due to increased neonatal fat mass, but predictive models are poor. • Induction of labour at 38 weeks is associated with a reduction in perinatal complications.

Chapter.  2124 words. 

Subjects: Endocrinology and Diabetes

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