Microvascular complications and the diabetic pregnancy.
Without strict glycemic control, diabetic pregnancies are frequently complicated by spontaneous abortion, stillbirth, or congenital malformation. Retrospective studies have been largely reassuring that pregnancy does not accelerate morbid outcomes in women with diabetic vascular disease. Improved outcomes of high-risk pregnancy in women with pregestational, type 1, or type 2 diabetes mellitus remain challenging, depending on a comprehensive and multidisciplinary team approach and extensive preconception counseling.
Bond
Melton J
MJ
Women and Infant Services, Department of Obstetrics and Gynecology, Washington Hospital Center, Washington DC 20010, USA. melton.j.bond@medstar.net
Umans
Jason G
JG
D003327:Coronary Disease / Q000453:epidemiology / Q000517:prevention & control; D048909:Diabetes Complications / Q000503:physiopathology*; D003925:Diabetic Angiopathies / Q000453:epidemiology / Q000517:prevention & control; D003928:Diabetic Nephropathies / Q000453:epidemiology / Q000517:prevention & control; D003930:Diabetic Retinopathy / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D008833:Microcirculation / Q000503:physiopathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000453:epidemiology / Q000517:prevention & control