Management of Diabetes in Pregnancy

Management of Diabetes in Pregnancy
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DOI:
10.1007/s11892-011-0249-0
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发表时间:
2012-02-01
影响因子:
4.2
通讯作者:
Ramos, Gladys A.
Ramos, Gladys A.
中科院分区:
医学2区
文献类型:
--
作者:
Ballas, Jerasimos;Moore, Thomas R.;Ramos, Gladys A.

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糖尿病和不良妊娠结局之间的联系已经确立。与非怀孕人群一样,患有糖尿病的孕妇可能会对多个母体器官系统产生深远影响。在胎儿中,在宫内暴露于糖尿病引起的疾病不仅包括先天性异常增加、胎儿过度生长和死产,而且代谢异常似乎会持续到生命早期、青春期和以后。这篇文章强调了最新的妊娠期糖尿病筛查指南,同时回顾了它们对孕妇和新生儿并发症的潜在影响,这些并发症发生在妊娠期高血糖的设置中。
The link between diabetes and poor pregnancy outcomes is well established. As in the non-pregnant population, pregnant women with diabetes can experience profound effects on multiple maternal organ systems. In the fetus, morbidities arising from exposure to diabetes in utero include not only increased congenital anomalies, fetal overgrowth, and stillbirth, but metabolic abnormalities that appear to carry on into early life, adolescence, and beyond. This article emphasizes the newest guidelines for diabetes screening in pregnancy while reviewing their potential impact on maternal and neonatal complications that arise in the setting of hyperglycemia in pregnancy.