Nizard V
Maternité, Hôpital International de l'Université de Paris.
J Gynecol Obstet Biol Reprod (Paris). 1989;18(4):533-6.
This article points out the indications for the use of different contraceptive measures in diabetics according to the severity of the diabetes. It is very important for contraception to be used to space out pregnancies. It is known that good diabetic balance before pregnancy reduces the incidence of fetal malformations and of maternal complications in the pregnancy. Small dose progestogens can be used for this indication. If higher doses are used, only those derived from 17-hydroxyprogesterone and norpregnanes should be used. Intrauterine devices are contraindicated in women who have not had babies but they do not seem to raise the incidence of infection.
本文根据糖尿病的严重程度指出了糖尿病患者使用不同避孕措施的适应症。采用避孕措施来间隔妊娠非常重要。众所周知,妊娠前良好的糖尿病控制可降低胎儿畸形和妊娠期间母体并发症的发生率。小剂量孕激素可用于此适应症。如果使用较高剂量,仅应使用源自17-羟孕酮和去甲孕烷的孕激素。未生育的女性禁用宫内节育器,但宫内节育器似乎不会增加感染发生率。