Farrell Marian
University of Scranton, Room 307 McGurrin Hall, Scranton, PA 18510, USA.
MCN Am J Matern Child Nurs. 2003 Sep-Oct;28(5):301-5. doi: 10.1097/00005721-200309000-00007.
The article reviews gestational diabetes mellitus, including etiology, diagnostic and screening criteria, risk factors, and care of the affected woman. Gestational diabetes mellitus affects approximately 7% of all pregnant women, resulting in more than 200,000 cases each year, and is defined as glucose intolerance that begins or is first recognized during pregnancy. Women are considered at high risk for gestational diabetes if they are markedly obese, have a personal history of gestational diabetes, have a strong family history of diabetes, or have glycosuria. Risk assessment is essential in determining whether a woman should be screened or tested for gestational diabetes. Women who have had gestational diabetes should have comprehensive preconception care prior to a subsequent pregnancy to ascertain appropriate weight, nutrition, exercise, and signs of gestational diabetes.
本文回顾了妊娠期糖尿病，包括病因、诊断和筛查标准、危险因素以及对患病女性的护理。妊娠期糖尿病影响约7%的孕妇，每年导致超过20万例病例，其定义为在孕期开始或首次被识别的葡萄糖不耐受。如果女性明显肥胖、有妊娠期糖尿病个人史、有糖尿病家族史或有糖尿，则被认为患妊娠期糖尿病的风险很高。风险评估对于确定女性是否应接受妊娠期糖尿病筛查或检测至关重要。有妊娠期糖尿病史的女性在下次怀孕前应接受全面的孕前护理，以确定合适的体重、营养、运动以及妊娠期糖尿病的体征。
