[Diabetes and Pregnancy (author's transl)]

Area of Science:

• Obstetrics and Gynecology
• Endocrinology
• Neonatology

Context:

• Focuses on the management of 316 pregnant diabetic women.
• Highlights experiences from a municipal hospital in Vienna-Lainz.
• Emphasizes the critical period from conception through delivery and neonatal care.

Purpose:

• To evaluate the impact of a structured, multidisciplinary approach to managing pregnancy in diabetic women.
• To identify key interventions for improving maternal and neonatal outcomes.
• To report on the effectiveness of intensive care protocols.

Summary:

• Advocates for close collaboration between diabetologists, obstetricians, and pediatricians.
• Stresses early diagnosis, conception-focused care, and achieving normoglycemic levels within the first trimester.
• Recommends hospital-based stabilization for difficult-to-manage insulin-dependent cases and avoiding maternal overweight.
• Details the necessity of modern obstetric intensive care facilities and combined medical care for complications.
• Outlines strategies for optimizing delivery timing and aiming for vaginal delivery.
• Underscores the high-risk nature of newborns and the need for immediate specialized pediatric care and transfer to intensive care units.

Impact:

• Achieved a significant reduction in the overall mortality rate from 12.5% (1970-1971) to 1.85% (1972-1979).
• Reduced the proportion of Prognostically Bad Signs of Pregnancy (PBSP) from 32.42% to 20.79%.
• Markedly decreased perinatal mortality within the PBSP group from 50% to 17.24%.