Artner J, Baumung H, Bruneder H, Irsigler K, Korp W, Lantzberg F, Ogris E, Pollauf F, Rosenkranz A, Sedlak W
Wien Klin Wochenschr. 1977 Sep 16;89(17):573-80.
Pregnancy and delivery in 190 diabetic women are described. Obstetric, medical and neonatal guidelines for treatment are outlined and the following results are reported: 1. The delivery dates suggested by P. White were generally exceeded by 2 weeks. Group A was delivered at term, group B generally in the 38th week, group C between the 37th and 38th week and group D mostly in the 37th week of gestation. 2. Spontaneous delivery was achieved in 60% of the cases; Caesarean section was necessary in 33%, whilst the incidence of vacuum extraction was 5%. 3. The perinatal infant mortality rate in diabetic pregnancy decreased from 22.9% in 1970/71 to 2.7% in 1972/1976. 4. Perinatal mortality was related to the degree of severity of diabetes according to White's classification. 5. The percentage of PBSP cases was lowered from 32% to 24%. Perinatal mortality in the PBSP group decreased from 50% in 1970/71 to 19% in 1972/1976. 6. Hypoglycaemia occurred in 70% of 74 newborn infants submitted to intensive neonatal care. A true glucose value of less than 25 mg% was recorded in 30% of these cases. Hypocalcaemia was present in 16% cases, whilst 62% of the newborn infants suffered from respiratory distress syndrome. Cardiomegaly occurred in 28% of infants. 7. Development and prognosis are judged to be favourable in children of diabetic mothers.
本文描述了190例糖尿病女性的妊娠和分娩情况。概述了产科、医学和新生儿治疗指南，并报告了以下结果：1. P. White建议的分娩日期通常会超出2周。A组在足月分娩，B组一般在第38周分娩，C组在第37至38周之间分娩，D组大多在妊娠第37周分娩。2. 60%的病例实现了自然分娩；33%的病例需要剖宫产，而真空吸引的发生率为5%。3. 糖尿病妊娠的围产期婴儿死亡率从1970/71年的22.9%降至1972/1976年的2.7%。4. 根据White分类，围产期死亡率与糖尿病的严重程度相关。5. 持续性新生儿低血糖症（PBSP）病例的百分比从32%降至24%。PBSP组的围产期死亡率从1970/71年的50%降至1972/1976年的19%。6. 在74例接受强化新生儿护理的新生儿中，70%出现低血糖。其中30%的病例记录到实际血糖值低于25mg%。16%的病例存在低钙血症，而62%的新生儿患有呼吸窘迫综合征。28%的婴儿出现心脏肥大。7. 糖尿病母亲的孩子的发育和预后被认为是良好的。
