title: [Pregnancy in the diabetic woman. Incidence of malformations, of macrosomia, update on obstetrical management].
abstract: Perinatal mortality for infants born to diabetic mothers has dropped in the years from the 1950's when it was 20% to less than 3% by the end of the 1980's. In spite of this considerable reduction which is due to careful observation and multidisciplinary management in this type of pregnancy, the congenital malformation rate is 4 times greater than with the general population (3%) and the rate of spontaneous abortions is double (13%). The caesarean section rate is 5 times higher (18%). In bringing out a retrospective study we have attempted to analyse the endocrinological and obstetrical features of the cases.
authors.affiliation: Service de Gynécologie A, Hôtel-Dieu, Rennes.
authors.forename: A
authors.initials: A
authors.lastname: Guivarc'h-Levêque
authors.forename: P
authors.initials: P
authors.lastname: Poulain
authors.forename: J
authors.initials: J
authors.lastname: Levêque
authors.forename: H
authors.initials: H
authors.lastname: Allannic
authors.forename: J R
authors.initials: JR
authors.lastname: Giraud
authors.forename: J Y
authors.initials: JY
authors.lastname: Grall
mesh_terms: D002585:Cesarean Section / Q000706:statistics & numerical data; D002985:Clinical Protocols; D000013:Congenital Abnormalities / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005320:Fetal Macrosomia / Q000453:epidemiology* / Q000209:etiology; D005602:France / Q000453:epidemiology; D006441:Hemoglobin A / Q000032:analysis; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D009774:Obstetrics / Q000379:methods*; D010348:Patient Care Team; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000097:blood / Q000150:complications* / Q000628:therapy; D011379:Prognosis; D012189:Retrospective Studies
chemical_list: D006441:Hemoglobin A
vernacular_title: La grossesse de la femme diabétique. Incidence des malformations, de la macrosomie, mise à jour sur la conduite obstétricale.