Kendrick Jo M
Department of Obstetrics and Gynecology, University of Tennessee Graduate School of Medicine, Knoxville, Tenn, USA.
J Perinat Neonatal Nurs. 2004 Jan-Mar;18(1):14-25; quiz 26-7. doi: 10.1097/00005237-200401000-00003.
Preconception care in women with diabetes reduces the risk of spontaneous abortion and congenital malformations as a result of improved glycemic control before and during organogenesis. Prepregnancy planning encompasses optimizing glycemic control and also affording the opportunity for genetic counseling, contraceptive selection, management of diabetes complications, and evaluation of psychosocial aspects of pregnancy, childbearing, and diabetes care. The purpose of this article is to provide nurses with current clinical assessment and management strategies of women with diabetes in order to implement a comprehensive individualized preconception plan of care.
糖尿病女性的孕前保健可降低自然流产和先天性畸形的风险，这是由于在器官形成之前及期间改善了血糖控制。孕前规划包括优化血糖控制，还提供了遗传咨询、避孕选择、糖尿病并发症管理以及对妊娠、生育和糖尿病护理的心理社会方面进行评估的机会。本文旨在为护士提供糖尿病女性当前的临床评估和管理策略，以便实施全面的个体化孕前护理计划。
