Cossard F, Horovitz J, Mage P, Gonnet J M, Dubecq J P
J Gynecol Obstet Biol Reprod (Paris). 1982;11(4):495-504.
The authors review ten years of caring for pregnant diabetic women. They adhered rigidly in these ten years to two fundamental principles, which were the need to ensure rigorous control of blood sugar levels, and the value of waiting to the 37th or 38th week before starting labour whenever the fetus did not seem to be particularly at risk. Their attitude, which has stayed remarkably constant, is different from that of many other authors who during this same period started by stopping the pregnancy prophylactically between the 34th and 36th week but later allowed labour to start sometimes spontaneously at a later stage as knowledge of feto-maternal mechanisms increased and methods of supervising these patients improved.
作者回顾了十年间对糖尿病孕妇的护理情况。在这十年里,他们严格遵循两项基本原则,一是需要确保严格控制血糖水平,二是只要胎儿看起来没有特别的风险,就应等到第37或38周再开始分娩。他们的态度一直非常坚定,与许多其他作者不同,在同一时期,其他作者一开始在第34至36周预防性终止妊娠,但随着对母婴机制的了解增加以及对这些患者的监测方法改进,后来有时允许在更晚阶段自然分娩。