Labor and delivery management for women with diabetes.
Diabetes in pregnancy confers a number of risks for both the mother and her baby, and many of these risks are encountered in the labor and delivery unit. The obstetric provider caring for women with diabetes should be alert to the risk of hypertension and the potential for difficult delivery due to an overgrown fetus. Women with preexisting diabetes or poor glycemic control are at increased risk for poor obstetrical outcomes such as stillbirth or delivery of a malformed infant. Meticulous attention to avoiding maternal hyperglycemia during labor can prevent neonatal hypoglycemia.
Hawkins
J Seth
JS
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390, USA.
Casey
Brian M
BM
D000013:Congenital Abnormalities / Q000503:physiopathology; D036861:Delivery, Obstetric; D016640:Diabetes, Gestational / Q000503:physiopathology / Q000628:therapy; D003927:Diet, Diabetic; D005260:Female; D005320:Fetal Macrosomia / Q000503:physiopathology; D005865:Gestational Age; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007743:Labor, Obstetric; D011225:Pre-Eclampsia / Q000503:physiopathology; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000503:physiopathology / Q000628:therapy; D050497:Stillbirth
D007004:Hypoglycemic Agents; D007328:Insulin