Elliott P
Aust N Z J Obstet Gynaecol. 1978 Feb;18(1):21-7. doi: 10.1111/j.1479-828x.1978.tb00006.x.
One hundred and ninety-six pregnancies complicated by gestational diabetes in a referred private practice over an 18-year period have been reviewed. Initially they were managed as true diabetics and the pregnancies terminated before the 38th week. More recently, pregnancies have been managed on an outpatient basis and allowed to proceed to term, with a higher percentage of vaginal deliveries and no increase in perinatal mortality or morbidity. A high incidence of neonatal jaundice was noted, but no explanation emerged. Differences between true diabetes and gestational diabetes, with particular reference to perinatal mortality are discussed and the good prognosis for the gestational form emphasised. Follow-up suggests that a continuation of the rapport established between physician, obstetrician and patient during pregnancy may be important in delaying or preventing the subsequent onset of diabetes.
回顾了一家转诊私人诊所18年间196例并发妊娠期糖尿病的妊娠病例。最初，她们被当作真正的糖尿病患者来处理，妊娠在38周前终止。最近，妊娠在门诊进行管理，并允许足月分娩，阴道分娩的比例更高，围产期死亡率和发病率没有增加。注意到新生儿黄疸的发生率很高，但原因不明。讨论了真正的糖尿病与妊娠期糖尿病之间的差异，特别是围产期死亡率方面，并强调了妊娠期糖尿病的良好预后。随访表明，孕期医生、产科医生与患者之间建立的融洽关系的持续，可能对延迟或预防后续糖尿病的发生很重要。
