Diabetes mellitus and pregnancy--the nine month experiment.
The writer presents a personal experience of caring for the pregnant diabetic. During a 27 year period (1951-1977) 328 women were treated in 649 pregnancies (668 infants). There was no maternal death. The overall perinatal loss was 9.1%. The Caesarean section rate was only 23%. In recent years a policy of intensely strict control of diabetes has improved foetal survival. It is suggested that this may represent objective evidence that strict control of diabetes has long term benefits.
D000022:Abortion, Spontaneous / Q000209:etiology; D000328:Adult; D001786:Blood Glucose; D000013:Congenital Abnormalities / Q000209:etiology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D006831:Polyhydramnios / Q000209:etiology; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000150:complications / Q000628:therapy*
D001786:Blood Glucose