Sheldon G W
Division of Perinatal Medicine, St. John's Mercy Medical Center, St. Louis, Missouri.
Obstet Gynecol Clin North Am. 1988 Jun;15(2):379-90.
The possibility of a normal outcome of pregnancy for both mother and fetus exists in most instances of diabetes in pregnancy. A significant effort on the part of both the patient and the health care team is required to accomplish this goal. Preconceptional counseling is an essential component of planning the time of conception, establishing normal glucose control, and evaluating the patient as indicated for the presence of vascular complications of diabetes prior to conception. The maintenance of euglycemia and careful fetal surveillance is critical to ensure fetal welfare. The detection and management of previously unrecognized glucose intolerance are important components of the prenatal care of all patients.
在大多数妊娠糖尿病病例中，母亲和胎儿都有可能获得正常的妊娠结局。患者和医护团队都需要付出巨大努力才能实现这一目标。孕前咨询是计划受孕时间、建立正常血糖控制以及在受孕前评估患者是否存在糖尿病血管并发症的重要组成部分。维持血糖正常和仔细监测胎儿对于确保胎儿健康至关重要。检测和管理先前未被识别的糖耐量异常是所有患者产前护理的重要组成部分。
