Landon M B, Gabbe S G
Department of Obstetrics and Gynecology, Ohio State University College of Medicine, Columbus, USA.
Obstet Gynecol Clin North Am. 1996 Mar;23(1):109-23. doi: 10.1016/s0889-8545(05)70247-3.
Protocols for antepartum fetal assessment in pregnancies complicated by diabetes mellitus are an important part of a care program that allows most of these pregnancies to reach term, ensuring fetal maturation. Maternal assessment of fetal activity serves as an efficient screening test in most surveillance programs. These programs have used primarily biophysical testing consisting of the nonstress test, cardiac stress test, or biophysical profile. Doppler studies have been investigated as an adjunct for identifying fetal compromise. These studies may prove most valuable in cases of maternal vascular disease. The success of these protocols continues to be predicated on careful regulation of maternal glycemia through aggressive therapy with insulin and diet. Reassuring tests of fetal condition are present in most diabetic women and, therefore, permit fetal maturation to occur prior to delivery.
糖尿病合并妊娠的产前胎儿评估方案是护理计划的重要组成部分，该计划能使大多数此类妊娠足月分娩，确保胎儿成熟。在大多数监测方案中，孕妇对胎儿活动的自我评估是一种有效的筛查测试。这些方案主要采用包括无应激试验、心脏应激试验或生物物理评分的生物物理检测。已对多普勒研究作为识别胎儿窘迫辅助手段进行了研究。这些研究在孕产妇血管疾病病例中可能最具价值。这些方案的成功仍取决于通过胰岛素和饮食积极治疗来仔细控制母体血糖水平。大多数糖尿病女性都有令人放心的胎儿状况检测结果，因此可在分娩前实现胎儿成熟。
