Fernández Yagüe Consuelo
Centro de Salud de Xaloc, Ib-Salud, Mallorca.
Rev Enferm. 2004 Dec;27(12):12-6.
Diabetes during pregnancy is an extra burden for both the mother and the child. Pregnancy is diabetogenic and it has a tendency to aggravate preexisting diabetes or to make manifest a latent form of diabetes which causes grave consequences in the health of the mother and the fetus. The influence of diabetes during pregnancy is unfavorable. Diabetes causes frequent complications for the pregnant woman; diabetes leads to a more rapid growth of a fetus and the placenta becomes larger and hypertropic. Therefore it is so important to make an early detection of diabetes during pregnancy and to carry out a good control of it. From the Primary Care and Treatment Center both in the nursing office and by the midwife, this control is carried out along three directions: nutritional treatment, exercise, and a control of post-prandial glycemias. On behalf of the midwife, the midwife follows a protocol to detect complications derived from obstetrics. After birth, the midwife will continue making a follow-up on the woman who has given birth until she finalizes nursing her child.
孕期糖尿病对母亲和孩子来说都是额外的负担。怀孕具有致糖尿病性，它往往会加重已有的糖尿病，或使潜在形式的糖尿病显现出来，这会对母亲和胎儿的健康造成严重后果。孕期糖尿病的影响是不利的。糖尿病会给孕妇带来频繁的并发症；糖尿病会导致胎儿生长加速，胎盘会变得更大且肥大。因此，在孕期早期检测出糖尿病并对其进行良好控制非常重要。在初级保健和治疗中心，无论是在护理办公室还是由助产士进行，这种控制都是沿着三个方向进行的：营养治疗、运动和餐后血糖控制。代表助产士，助产士遵循一个方案来检测产科并发症。分娩后，助产士将继续对分娩后的妇女进行随访，直到她停止母乳喂养孩子。
