Fetal surveillance in pregnancy complicated by diabetes mellitus: is it necessary?
This article provides a literature review and opinion concerning the need for fetal surveillance in diabetic pregnancy. Low rates of intervention for suspected fetal jeopardy accompany well-controlled diabetic pregnancies in the absence of vascular disease or hypertension. The clinical utility of routine tests of fetal surveillance in uncomplicated type 1 and type 2 diabetic and gestational diabetic pregnancy has not been established. A randomized trial designed to establish whether a benefit exists to fetal testing in this population is not feasible, largely owing to sample size considerations.
Landon
M B
MB
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Ohio University College of Medicine and Public Health, Columbus, Ohio 43210-1228, USA.
Vickers
S
S
D015190:Blood Glucose Self-Monitoring; D016640:Diabetes, Gestational / Q000097:blood / Q000150:complications*; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000097:blood / Q000150:complications*; D012307:Risk Factors