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[Preconception care in patients with diabetes]
Pierre Gueneau De Mussy1, HéLéne Legardeur2, Giacomo Gastaldi3
1Service d'endocrinologie, diabétologie et métabolisme CHUV, 1011 Lausanne.
Revue Medicale Suisse
|June 1, 2019
Summary
Planning pregnancies for women with diabetes is crucial. Preconceptional care and family planning optimize metabolic control, significantly reducing maternal and fetal risks during pregnancy.
Area of Science:
- Reproductive Endocrinology
- Maternal-Fetal Medicine
- Diabetology
Background:
- Pregnancy in diabetic patients presents significant maternal and fetal risks, particularly with unplanned conception.
- Optimal metabolic control before and during pregnancy is essential for improved outcomes.
- Evidence supports proactive family planning and interdisciplinary management for diabetic pregnancies.
Purpose of the Study:
- To outline key considerations for preparing diabetic patients for pregnancy.
- To provide practical tools for preconceptional counseling and management.
- To emphasize the importance of early intervention in diabetic pregnancies.
Main Methods:
- Review of current evidence on preconceptional care for diabetes.
- Synthesis of guidelines for family planning in diabetic women.
- Identification of essential components for interdisciplinary management.
Main Results:
- Timely family planning is critical for reducing risks.
- Preconceptional interdisciplinary care optimizes metabolic control.
- Structured preparation significantly enhances pregnancy outcomes for diabetic patients.
Conclusions:
- Proactive preconceptional care is paramount for diabetic pregnancies.
- Comprehensive planning and management strategies are vital.
- Empowering patients with tools facilitates successful pregnancy preparation.
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