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Gestational Diabetes Insulin Management Intrapartum

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81. Risk Factors for Complications During Pregnancy

(for management of hypertension during pregnancy, see ). Diabetes Overt occurs in ≥ 6% of pregnancies, and gestational diabetes occurs in about 8.5% of pregnancies. Incidence is increasing as the incidence of obesity increases. Preexisting insulin -dependent diabetes increases the risk of the following: Fetal death Major fetal malformations (fetal weight > 4.5 kg) If vasculopathy is present, Insulin requirements usually increase during pregnancy. Gestational diabetes increases the risk of the following (...) : Hypertensive disorders Fetal macrosomia The need for cesarean section Gestational diabetes is routinely screened for at 24 to 28 wk and, if women have risk factors, during the 1st trimester. Risk factors include the following: Previous gestational diabetes A macrosomic infant in a previous pregnancy Family history of non- insulin –dependent diabetes Unexplained fetal losses Body mass index (BMI) > 30 kg/m 2 Certain ethnicities (eg, Mexican Americans, American Indians, Asians, Pacific Islanders) in whom

2013 Merck Manual (19th Edition)

82. Diabetes in Pregnancy

and Child Health (CEMACH), February 2007 ; Management of Type 1 Diabetes in Pregnancy. Curr Diab Rep. 2016 Aug16(8):76. doi: 10.1007/s11892-016-0765-z. ; NICE Clinical Guideline (November 2014) ; NICE Clinical Guideline (March 2008, updated 2018) ; Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes. Cochrane Database Syst Rev. 2016 Jun 7(6):CD005542. doi: 10.1002/14651858.CD005542.pub3. ; NICE Clinical Guideline (August 2010, updated (...) Guidelines. You may find the article more useful, or one of our other . In this article In This Article Diabetes in Pregnancy In this article This article deals with pregnancy in patients with pre-existing diabetes. See also separate article. Epidemiology Diabetes is the most common pre-existing medical disorder complicating pregnancy in the UK. Up to 5% of women giving birth in England and Wales have either pre-existing diabetes or gestational diabetes [ ] . The number of people with type 1 diabetes

2008 Mentor

83. Hypertension in Pregnancy

of pregnancies than in the non-hypertensive cohort. By instituting the standardized protocol proposed within this guideline for the assessment, surveillance, and management of all women admitted to a BC healthcare facility with a HDP, the TESS project is anticipated to improve maternal and neonatal outcomes in BC. 3. ri Sk FA c Tor S • Family history • extremes of reproductive age • Primigravida • Multiple gestationDiabetes, renal disease, hypertension prior to pregnancy • Collagen vascular disease (...) renal disease or diabetes • sBP >140 mmHg or dBP >90 mmHg n Recommended treatment of non-severe hypertension in pregnancy • Treatment goal: dBP 80-105 mmHg (depending on practitioner preference) o First choice agent: Methyldopa (Aldomet) o second choice agents: Labetalol (Trandate); Nifedipine (Adalat PA or XL) o special indications (renal or cardiac diseases): diuretics • Drugs to avoid: angiotensin-converting enzyme inhibitors; angiotensin II receptor antagonists; atenolol n Acute management

2006 British Columbia Perinatal Health Program

84. Gestational Diabetes

outcomes in women undergoing bariatric surgery: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2014 Oct181:45-53. doi: 10.1016/j.ejogrb.2014.07.015. Epub 2014 Jul 30. ; Diabetes UK ; Gestational diabetes mellitus: insulinic management. J Obstet Gynaecol India. 2014 Apr64(2):82-90. doi: 10.1007/s13224-014-0525-4. Epub 2014 Mar 18. ; Effect of treatment of gestational diabetes mellitus: a systematic review and meta-analysis. PLoS One. 2014 Mar 219(3):e92485. doi: 10.1371 (...) Gestational Diabetes Gestational Diabetes information. Diabetes in pregnancy | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Gestational Diabetes Authored by , Reviewed by | Last edited 2 Dec 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European

2008 Mentor

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