Rotondo L M
NAACOGS Clin Issu Perinat Womens Health Nurs. 1990;1(2):133-45.
Diabetes Mellitus as a predisposing condition in pregnancy places the mother and fetus at increased risk for complications. Nevertheless, a successful pregnancy with a healthy baby is a realistic goal for most diabetic women today. The emphasis is on maintaining good control of blood glucose levels before conception and during pregnancy to minimize the risks. This article explains the physiology of diabetes and pregnancy and the metabolic changes that occur. It outlines the plan of management during pregnancy and the postpartum period and presents a review of the major complications that could affect the infant of the diabetic mother. A multidisciplinary team approach is also stressed as a positive influence affecting the outcome of a diabetic pregnancy.
糖尿病作为妊娠的一种易感疾病，会使母亲和胎儿面临更高的并发症风险。然而，对于如今大多数糖尿病女性而言，孕育一个健康宝宝的成功妊娠是一个现实的目标。重点在于在受孕前和孕期保持对血糖水平的良好控制，以将风险降至最低。本文解释了糖尿病与妊娠的生理机制以及所发生的代谢变化。它概述了孕期及产后的管理计划，并对可能影响糖尿病母亲所生婴儿的主要并发症进行了综述。多学科团队方法也被强调为对糖尿病妊娠结局产生积极影响的因素。
