Literature DB >> 879221

A modern approach to management of pregnant diabetics: a two-year analysis of perinatal outcomes.

M T Gyves, H M Rodman, A B Little, A A Fanaroff, I R Merkatz.   

Abstract

Increased understanding of maternal-fetal carbohydrate homeostasis together with modern perinatal technology now provides a more rational basis for obstetric management of the pregnant diabetic patient. These concepts were applied at MacDonald House in the care of 96 diabetic pregnant women over a two-year period. Pregnancy outcomes were compared with prior experiences with the same group of women. The perinatal mortality rate was reduced from 13.5 to 4.2%, and the rate of macrosomia (infants large for gestational age) was reduced from 30.9 to 17.7%. Patients with gestational diabetes, with a prior loss rate of 8.3%, suffered no losses in the current series. Maternal age was not found to correlate with an untoward outcome in this subgroup.

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Year:  1977        PMID: 879221     DOI: 10.1016/0002-9378(77)90206-x

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  9 in total

Review 1.  Periodic health examination, 1992 update: 1. Screening for gestational diabetes mellitus. Canadian Task Force on the Periodic Health Examination.

Authors: 
Journal:  CMAJ       Date:  1992-08-15       Impact factor: 8.262

2.  Haemoglobin A1 in diabetic pregnancy: an evaluation.

Authors:  M Sheridan-Pereira; M I Drury; R Baumgart; D Ua Conaill; M W France
Journal:  Ir J Med Sci       Date:  1983-07       Impact factor: 1.568

Review 3.  Diabetes in pregnancy 1985.

Authors:  D R Hadden
Journal:  Diabetologia       Date:  1986-01       Impact factor: 10.122

4.  Influence of maternal insulin-dependent diabetes mellitus on neonatal morbidity.

Authors:  D J Hunter; R F Burrows; P T Mohide; R K Whyte
Journal:  CMAJ       Date:  1993-07-01       Impact factor: 8.262

5.  Pregnancy in diabetic women: outcome with a program aimed at normoglycemia before meals.

Authors:  G J Tevaarwerk; P G Harding; K J Milne; N T Jaco; N W Rodger; C Hurst
Journal:  Can Med Assoc J       Date:  1981-09-01       Impact factor: 8.262

6.  Care of pregnant diabetics: medical aspects.

Authors:  E Baranyi; G Tamás; J Szalay; D Békefi; E Dimény; G Petrányi; L Anda; G Brooser; I Gáti; I Magyar
Journal:  Acta Diabetol Lat       Date:  1980 Jan-Mar

7.  Morbidity and mortality amongst infants of diabetic mothers admitted into a special care baby unit in Port Harcourt, Nigeria.

Authors:  Peace I Opara; Tamunopriye Jaja; Uche C Onubogu
Journal:  Ital J Pediatr       Date:  2010-12-07       Impact factor: 2.638

Review 8.  Effect of screening and management of diabetes during pregnancy on stillbirths.

Authors:  Madiha Syed; Hasan Javed; Mohammad Yawar Yakoob; Zulfiqar A Bhutta
Journal:  BMC Public Health       Date:  2011-04-13       Impact factor: 3.295

9.  The effect of carbohydrate intolerance on neonatal birth weight in pregnant women without gestational diabetes mellitus.

Authors:  Devrim Ertunc; Ekrem Tok; Umut Dilek; Ozlem Pata; Saffet Dilek
Journal:  Ann Saudi Med       Date:  2004 Jul-Aug       Impact factor: 1.526

  9 in total

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