[Diabetes and gestation]

Diabetes during pregnancy is an extra burden for both the mother and the child. Pregnancy is diabetogenic and it has a tendency to aggravate preexisting diabetes or to make manifest a latent form of diabetes which causes grave consequences in the health of the mother and the fetus. The influence of diabetes during pregnancy is unfavorable. Diabetes causes frequent complications for the pregnant woman; diabetes leads to a more rapid growth of a fetus and the placenta becomes larger and hypertropic. Therefore it is so important to make an early detection of diabetes during pregnancy and to carry out a good control of it. From the Primary Care and Treatment Center both in the nursing office and by the midwife, this control is carried out along three directions: nutritional treatment, exercise, and a control of post-prandial glycemias. On behalf of the midwife, the midwife follows a protocol to detect complications derived from obstetrics. After birth, the midwife will continue making a follow-up on the woman who has given birth until she finalizes nursing her child.