Moore D S, Bingham P R, Keesling O
JOGN Nurs. 1981 May-Jun;10(3):188-94. doi: 10.1111/j.1552-6909.1981.tb00653.x.
The woman with diabetes who becomes pregnant faces increased risk of morbidity, urinary tract infections, vaginitis, difficult delivery, hemorrhage, cesarean section, preeclampsia, and hydramnios. Chronic disease alone produces emotional tension. Added to this she has increased general life stresses such as added financial responsibility, increases time commitments, and changes in lifestyle demands. The infant of the diabetic is often large for dates, faces respiratory distress syndrome with early delivery, may experience hypoglycemia, and may have fetal anomalies. Clinical specialists of nursing, consulting and working together, can develop a plan of nursing care for the pregnant woman with diabetes. Because the pregnant diabetic woman faces the usual adjustments to pregnancy plus problems dealing with a chronic condition of diabetes, nursing care should combine consideration of the physical, emotional and educational needs. In view of the many health team members providing care to the pregnant diabetic, one central figure with continued interaction can decrease fragmentation and provide continuity of care.
患有糖尿病的女性怀孕后，发病风险会增加，还易患泌尿系统感染、阴道炎、难产、出血、剖宫产、先兆子痫和羊水过多。仅慢性病就会产生情绪紧张。除此之外，她还面临着更多的生活压力，如经济负担加重、时间投入增加以及生活方式需求的改变。糖尿病患者的婴儿通常孕周较大，早产时易患呼吸窘迫综合征，可能会出现低血糖，还可能有胎儿畸形。护理临床专家共同会诊并协作，可以为患有糖尿病的孕妇制定护理计划。由于怀孕的糖尿病女性既要应对怀孕带来的常见调整，又要处理糖尿病这种慢性病，护理应综合考虑其身体、情感和教育需求。鉴于有众多医疗团队成员为怀孕的糖尿病患者提供护理，由一位核心人物持续进行沟通交流，可减少护理工作的分散性，确保护理的连续性。
