[Obstetrical management of progestational diabetes mellitus].
The presence of progestational diabetes mellitus, type 1 or type 2, in pregnant women has been associated with adverse effects on maternal and neonatal outcomes. The incidence of obstetrical and metabolic complications is increased, and a continuum has been observed between maternal blood glucose levels and perinatal outcome: perinatal mortality, severe congenital malformations, prematurity, macrosomia. Elective delivery is considered at 38-39 weeks of gestation in an appropriate perinatal center with a pre-established protocol in order to maintain euglycemia. Pre-conceptional programming and intensive collaborative follow-up of such pregnancies improve the outcome of such pregnancies.
Lepercq
J
J
Service de Gynécologie-Obstétrique, Hôpital Cochin - Saint-Vincent-de-Paul, 82, avenue Denfert-Rochereau, 75014 Paris, France.
D001786:Blood Glucose / Q000032:analysis; D000013:Congenital Abnormalities / Q000209:etiology; D036861:Delivery, Obstetric; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000628:therapy; D005260:Female; D005320:Fetal Macrosomia / Q000209:etiology; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology; D007231:Infant, Newborn; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000628:therapy*
D001786:Blood Glucose