Maternal complications in pregnancy with diabetes

Area of Science:

• Obstetrics and Gynecology
• Endocrinology
• Maternal-Fetal Medicine

Background:

• Diabetes in pregnancy presents significant risks for both mother and fetus.
• Complications range from obstetric issues to diabetes-specific conditions.

Purpose of the Study:

• To outline maternal complications associated with diabetes in pregnancy.
• To emphasize the importance of glycemic control and multidisciplinary management.

Main Methods:

• Review of known maternal complications of diabetes in pregnancy.
• Discussion of management strategies based on disease severity.

Main Results:

• Optimal glycemic control reduces obstetric complications like pre-eclampsia and preterm labor.
• Pre-existing diabetic vasculopathy, gastropathy, and coronary artery disease indicate poor pregnancy outcomes and contraindications.

Conclusions:

• Effective glycemic management is crucial for mitigating maternal risks.
• A multidisciplinary approach is essential for managing women with pre-existing diabetes and vasculopathy.
• Certain severe diabetic complications contraindicate pregnancy.