糖尿病女性的分娩管理

Labor and delivery management for women with diabetes.

作者信息

Hawkins J Seth, Casey Brian M

机构信息

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390, USA.

出版信息

Obstet Gynecol Clin North Am. 2007 Jun;34(2):323-34, x. doi: 10.1016/j.ogc.2007.04.003.

DOI:10.1016/j.ogc.2007.04.003

PMID:17572275

Abstract

Diabetes in pregnancy confers a number of risks for both the mother and her baby, and many of these risks are encountered in the labor and delivery unit. The obstetric provider caring for women with diabetes should be alert to the risk of hypertension and the potential for difficult delivery due to an overgrown fetus. Women with preexisting diabetes or poor glycemic control are at increased risk for poor obstetrical outcomes such as stillbirth or delivery of a malformed infant. Meticulous attention to avoiding maternal hyperglycemia during labor can prevent neonatal hypoglycemia.

摘要

妊娠糖尿病会给母亲和胎儿带来一系列风险，其中许多风险会在分娩科室出现。照顾糖尿病孕妇的产科医护人员应警惕高血压风险以及因胎儿过大导致难产的可能性。患有糖尿病或血糖控制不佳的孕妇出现死产或畸形儿分娩等不良产科结局的风险更高。在分娩期间精心注意避免母体高血糖可预防新生儿低血糖。