Antepartum fetal surveillance and timing of delivery in the pregnancy complicated by diabetes mellitus.
Pregnancies complicated by diabetes mellitus are associated with an increased risk of fetal and neonatal risks compared with pregnancies in the healthy gravida. Data suggest that stillbirth and perinatal mortality may be increased as much as 5 times for patients with insulin-dependent diabetes than in the general population. Pregnancies complicated by preexisting diabetes should undergo twice weekly surveillance with nonstress test or biophysical profile or a combination of both. Doppler studies should be reserved for those patients with vascular disease, intrauterine growth restriction, or hypertensive disorders.
Graves
Cornelia R
CR
Baptist Hospital, Tennessee Maternal Fetal Medicine, Nashville, Tennessee 37232-2519, USA. connie.graves@tnmfm.com
D002585:Cesarean Section; D016640:Diabetes, Gestational / Q000503:physiopathology*; D019317:Evidence-Based Medicine; D005260:Female; D005316:Fetal Distress / Q000175:diagnosis*; D005323:Fetal Monitoring / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced; D007743:Labor, Obstetric; D011247:Pregnancy; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000503:physiopathology*; D011296:Prenatal Diagnosis; D013997:Time Factors; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal