Huddle K R, Myer I G, Diamond T H, Barrow V N, Hellman P R, Bolton K D, Tshabalala G, Mahlaba R
S Afr Med J. 1987 Apr 4;71(7):429-31.
A combined clinic for pregnant diabetic women was established at Baragwanath Hospital to assess the effects of intensive monitoring of mother and fetus and of good glycaemic control on perinatal outcome. Home blood glucose monitoring was introduced as a method for assessing glycaemic control. Standard methods of maternal and fetal monitoring were used. Sixty-two diabetic pregnancies were evaluated prospectively. Twenty women had diabetes diagnosed for the first time in the current pregnancy and the remaining 42 had established diabetes. All patients followed a diabetic diet, and 95% were treated with insulin. The technique and accurate recording of blood glucose were managed by all patients, and a mean capillary blood glucose of 6.5 mmol/l for the group was achieved. Caesarean section was performed in 52% of cases with a mean period of gestation at the time of delivery for the total study population of 37 weeks. The mean neonatal weight was 3,130 g. The perinatal mortality rate of 64/1,000 was accounted for by 3 stillbirths and 1 early neonatal death. No major congenital anomalies occurred.
巴拉格瓦纳特医院设立了一家针对糖尿病孕妇的综合诊所，以评估对母婴进行强化监测以及良好的血糖控制对围产期结局的影响。引入家庭血糖监测作为评估血糖控制的一种方法。采用了标准的母婴监测方法。对62例糖尿病妊娠进行了前瞻性评估。20名女性在本次妊娠中首次被诊断出患有糖尿病，其余42名患有已确诊的糖尿病。所有患者均遵循糖尿病饮食，95%接受胰岛素治疗。所有患者都掌握了血糖检测技术并能准确记录，该组患者的平均毛细血管血糖达到6.5 mmol/l。52%的病例进行了剖宫产，整个研究人群分娩时的平均妊娠期为37周。新生儿平均体重为3130克。围产期死亡率为64/1000，其中包括3例死产和1例早期新生儿死亡。未出现重大先天性畸形。
