title: Third Trimester foetal complications in pregnancy with diabetes.
abstract: Diabetes in pregnancy starts affecting the foetus even in the pre-conception period. The complications encountered in third trimester are foetal macrosomia and intrauterine foetal demise; birth of a macrosomic baby further leads to shoulder dystocia, birth trauma, brachial plexus injury. Additionally, pregnancies with overt/pregestational diabetes may be complicated with foetal growth restriction, congenital abnormalities diagnosed in third trimester and foetal hypertrophic obstructive cardiomyopathy. Even minor degrees of hyperglycaemia is associated with adverse pregnancy outcome. Optimizing maternal glycaemic control and foetal surveillance is crucial for optimizing the perinatal outcome and minimizing aforesaid complications. The management of macrosomia is controversial regarding timing and mode of delivery, but most authorities agree for primary caesarean if estimated foetal weight at the end of pregnancy is 4500 gram or more.
authors.affiliation: Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vidushi
authors.initials: V
authors.lastname: Kulshrestha
authors.affiliation: Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Nutan
authors.initials: N
authors.lastname: Agarwal
mesh_terms: D001720:Birth Injuries; D002585:Cesarean Section; D004420:Dystocia; D005260:Female; D005320:Fetal Macrosomia; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D011254:Pregnancy in Diabetics; D011295:Prenatal Care; D012307:Risk Factors
keywords: Diabetes in pregnancy, Foetal complications, Macrosomia, Shoulder dystocia, Stillbirth, Foetal cardiomyopathy.