Gabbe S G, Mestman J H, Hibbard L T
Obstet Gynecol. 1976 Nov;48(5):549-51.
Over the past 50 years, maternal mortality for the pregnant diabetic has been reduced by half. In the period from 1957 to 1974, 24 pregnant diabetic women died in Los Angeles County. Seven deaths were directly attributed to the metabolic complications of diabetes. Fatal ketoacidosis occurred in the second and third trimesters, while hypoglycemia led to death in the first trimester or postpartum period. Of 15 patients alive at the onset of labor, 8 were delivered by cesarean section. Four of these women died from sepsis and 3 from hemorrhage. In contrast to other reports, vascular disease contributed to only 1 fatality.
在过去50年里，糖尿病孕妇的孕产妇死亡率降低了一半。在1957年至1974年期间，洛杉矶县有24名糖尿病孕妇死亡。7例死亡直接归因于糖尿病的代谢并发症。致命性酮症酸中毒发生在妊娠中期和晚期，而低血糖导致妊娠早期或产后死亡。15名临产时存活的患者中，8例行剖宫产分娩。其中4名女性死于败血症，3名死于出血。与其他报告不同的是，血管疾病仅导致1例死亡。
