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Pregestational Diabetes in Pregnancy
1Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Obstetrics and Gynecology Clinics of North America
|May 12, 2018
Summary
Preconception care for women with diabetes is vital for reducing risks to mothers and babies. Optimal glucose control with insulin and multidisciplinary care during pregnancy improves outcomes.
Area of Science:
- Reproductive Endocrinology
- Maternal-Fetal Medicine
- Diabetes Management
Background:
- Diabetes affects many women of reproductive age.
- Poor glycemic control during pregnancy increases risks for adverse maternal and fetal outcomes.
- These risks include hypertensive disorders, abnormal fetal growth, traumatic delivery, and stillbirth.
Purpose of the Study:
- To emphasize the importance of preconception care for women with diabetes.
- To highlight optimal management strategies during pregnancy.
- To outline essential postpartum care components.
Main Methods:
- Review of current guidelines and evidence regarding diabetes in pregnancy.
- Focus on insulin as the preferred medication for glycemic control.
- Emphasis on team-based, multidisciplinary care approaches.
Main Results:
- Preconception care significantly reduces adverse outcomes.
- Insulin therapy requires frequent adjustments during pregnancy.
- Multidisciplinary care facilitates achievement of glycemic goals.
Conclusions:
- Optimizing glycemic control before and during pregnancy is critical for maternal and fetal health.
- Insulin management and team-based care are key components of successful pregnancy outcomes in diabetic women.
- Comprehensive postpartum care, including lactation support and contraception counseling, is essential for long-term health.
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