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Postpartum Care for Patients With Diabetes: A Comprehensive and Whole-Life Approach
Kimberly Z Huynh1, Christina S Han
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Diabetes in pregnancy is associated with increased risk of cardiometabolic syndrome, mood disorders, intimate partner violence, and additional sequelae. These risks may persist beyond the pregnancy into the postpartum period. Comprehensive management and counseling require an understanding of the physiology of the puerperium, types of potential complications, and evidence behind management options. This review will discuss evidence-based immediate postpartum management, the impact of lactation on diabetes, and the long-term and transgenerational impact of diabetes in pregnancy.
Diabetes in pregnancy is associated with increased risk of cardiometabolic syndrome, mood disorders, intimate partner violence, and additional sequelae. These risks may persist beyond the pregnancy into the postpartum period. Comprehensive management and counseling require an understanding of the physiology of the puerperium, types of potential complications, and evidence behind management options. This review will discuss evidence-based immediate postpartum management, the impact of lactation on diabetes, and the long-term and transgenerational impact of diabetes in pregnancy.
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