Tchobroutsky C
Maternité Port-Royal, Paris.
Diabete Metab. 1990;16(2 Pt 2):125-30.
A review of the obstetrical management of diabetic pregnancies is presented. The best way to avoid complications is to achieve the best possible diabetic control. Ultrasonics are able to determine gestational age in the first weeks of pregnancy, to detect fetal malformations and to follow fetal growth. At the end of pregnancy, fetal heart rate monitoring is the golden standard to judge fetal well being. Delivery at term is of paramount importance. The presence of fetal macrosomia is an important parameter of the decision of the mode of delivery.
本文对糖尿病孕妇的产科管理进行了综述。避免并发症的最佳方法是尽可能实现最佳的糖尿病控制。超声能够在妊娠早期确定孕周，检测胎儿畸形并监测胎儿生长。在妊娠末期，胎儿心率监测是判断胎儿健康状况的金标准。足月分娩至关重要。巨大儿的存在是决定分娩方式的一个重要参数。
