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Diabetes in pregnancy 1985.

D R Hadden

    Diabetologia
    |January 1, 1986
    PubMed
    Summary

    Managing diabetic pregnancies requires interdisciplinary collaboration. Different approaches to managing high-risk pregnancies, including therapeutic abortion, impact perinatal loss rates in Ireland and Denmark.

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    Area of Science:

    • Obstetrics and Gynecology
    • Endocrinology
    • Neonatology

    Background:

    • Diabetic pregnancy management is an interdisciplinary responsibility.
    • Understanding challenges faced by obstetricians, diabetologists, and neonatologists is crucial.
    • Different international centers employ varied approaches to managing diabetic pregnancies.

    Purpose of the Study:

    • To compare management strategies for diabetic pregnancies in Ireland and Denmark.
    • To analyze perinatal loss rates in relation to specific management protocols.
    • To highlight the importance of interdisciplinary collaboration in diabetic obstetric care.

    Main Methods:

    • Comparative analysis of obstetric and medical records from Dublin and Copenhagen centers.
    • Review of perinatal loss data, including spontaneous and induced abortions.
    • Examination of differing approaches to managing pregnancies at risk of severe congenital malformations.

    Main Results:

    • Perinatal loss rates varied between the two centers: 4.5% in Dublin (excluding spontaneous abortions) and 1.5% in Copenhagen (excluding spontaneous and induced abortions).
    • Copenhagen's practice of therapeutic abortion for suspected congenital malformations, if considered fatalities, would yield a loss rate of 5.5%.
    • Spontaneous abortion rates were comparable, around 10% in Dublin and 8.0% in Copenhagen.

    Conclusions:

    • Management strategies for diabetic pregnancies differ significantly between Ireland and Denmark, particularly regarding therapeutic abortion.
    • Perinatal loss rates are influenced by these differing management approaches.
    • Effective diabetic pregnancy care necessitates close collaboration among all involved medical specialists.

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