Management of diabetes mellitus in pregnancy.
Diabetes is a common problem in pregnancy and the incidence depends on the racial predisposition and geographical distribution where the reports originate. Despite improvement in perinatal care, many serious clinical problems are still associated with diabetes during pregnancy. The overall strategy of management includes early identification of diabetes during pregnancy, combined management to achieve optimal glucose control with dietary manipulation and insulin, maternal and fetal monitoring during the antenatal period and determination of the delivery time. Intensive intrapartum monitoring and neonatal care at delivery and thereafter are also essential. The outlook for the newborn of the diabetic mother has changed dramatically in recent years and both perinatal mortality and morbidity rate have declined as a result of pre-pregnancy preparation and meticulous control of maternal blood glucose throughout pregnancy. Successful pregnancy outcome depends on the cooperation of the patient, the obstetrician, the physician, the neonatologist and the health educator.
Department of Obstetrics & Gynaecology, Singapore General Hospital.
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D005260:Female; D006266:Health Education; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D007743:Labor, Obstetric; D010349:Patient Compliance; D010500:Perinatology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000628:therapy*; D012846:Singapore
D007328:Insulin