A practical guide to pregnancy complicated by diabetes
A practical guide to pregnancy complicated by diabetes
复制标题
怀孕并发糖尿病的实用指南
DOI：
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
F. Dunne
中科院分区：
文献类型：
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作者：
E. Noctor;F. Dunne
Eoin Noctor是高威大学医院糖尿病和内分泌学专家注册员; Fidelma Dunne是高威大学医院糖尿病和内分泌学顾问医师，并在爱尔兰国立大学高威医学院担任个人教授。随着糖尿病患病率的增加，妊娠合并糖尿病或妊娠期糖尿病的数量也在增加。这对英国的医疗保健服务提出了挑战，以防止患有糖尿病的母亲所生婴儿的不良后果。初级保健的临床医生可以发挥重要作用，特别是在为患有这些疾病的妇女提供孕前保健方面。本文讨论了妊娠期糖尿病和妊娠期糖尿病的病理生理学和治疗，并概述了理想的孕前保健途径，以及产前和产科护理。
Eoin Noctor is Specialist Registrar, Diabetes and Endocrinology, Galway University Hospitals; Fidelma Dunne is Consultant Physician in Diabetes and Endocrinology, Galway University Hospitals, and holds a Personal Professorship in the School of Medicine at the National University of Ireland, Galway. As the prevalence of diabetes is increasing, so the number of pregnancies complicated by preexisting diabetes or gestational diabetes is also rising. This presents a challenge to healthcare services in the UK to prevent adverse outcomes in babies born to mothers with diabetes. Clinicians in primary care have an important role to play, particularly in delivering preconception care for women with these conditions. This article discusses the pathophysiology and treatment of both gestational and pre-existing diabetes during pregnancy and outlines the ideal pre-conception care pathway, as well as antenatal and obstetric care.