Preconception care of women with diabetes.
Preconception care in women with diabetes reduces the risk of spontaneous abortion and congenital malformations as a result of improved glycemic control before and during organogenesis. Prepregnancy planning encompasses optimizing glycemic control and also affording the opportunity for genetic counseling, contraceptive selection, management of diabetes complications, and evaluation of psychosocial aspects of pregnancy, childbearing, and diabetes care. The purpose of this article is to provide nurses with current clinical assessment and management strategies of women with diabetes in order to implement a comprehensive individualized preconception plan of care.
Kendrick
Jo M
JM
Department of Obstetrics and Gynecology, University of Tennessee Graduate School of Medicine, Knoxville, Tenn, USA. jkendric@mc.utmck.edu
D000022:Abortion, Spontaneous / Q000517:prevention & control; D001294:Attitude to Health; D015190:Blood Glucose Self-Monitoring / Q000523:psychology; D003920:Diabetes Mellitus / Q000523:psychology* / Q000628:therapy*; D005193:Family Planning Services / Q000458:organization & administration; D005260:Female; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000592:standards; D006801:Humans; D008425:Maternal Behavior / Q000523:psychology*; D016742:Preconception Care / Q000592:standards*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000523:psychology / Q000628:therapy; D014481:United States; D014932:Women's Health Services / Q000592:standards