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[Pre-existing diabetes and pregnancy].
1Maternité Port-Royal, hôpital cochin, AP-HP, université Paris-Descartes, 75014 Paris, France. j.lepercq@svp.aphp.fr
La Revue Du Praticien
|December 15, 2012
Summary
Pre-existing diabetes affects 0.5-1% of pregnancies, with type 2 diabetes rising due to obesity. Effective preconception care, multidisciplinary teamwork, and proper management are crucial for better pregnancy outcomes.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Public Health
Context:
- Pre-existing diabetes in pregnancy affects 0.5-1% of gestations.
- Type 2 diabetes, linked to rising obesity rates, constitutes two-thirds of these cases.
- Increasing prevalence necessitates optimized perinatal care strategies.
Purpose:
- To highlight the significance of preconception care for pregnancies in women with pre-existing diabetes.
- To emphasize the role of multidisciplinary collaboration in managing these high-risk pregnancies.
- To underscore the importance of appropriate medical management for improved pregnancy prognosis.
Summary:
- Pre-existing diabetes complicates 0.5-1% of pregnancies, with a growing proportion due to type 2 diabetes driven by obesity.
- Effective preconception planning, including contraception, is vital for optimizing maternal and fetal health.
- Successful pregnancy outcomes depend on a coordinated, multidisciplinary approach and tailored management protocols.
Impact:
- Improved pregnancy outcomes for women with pre-existing diabetes.
- Reduced maternal and neonatal morbidity associated with diabetic pregnancies.
- Enhanced understanding and implementation of best practices in high-risk obstetric care.
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