Related Experiment Videos
[75 diabetic pregnancies 1984-1991]
H Domínguez1, T K Pless, G Gregersen
1Medicinsk afdeling, Esbjerg Centralsygehus.
Ugeskrift for Laeger
|June 19, 1995
Summary
Optimal pre-conception metabolic control is crucial for pregnant women with diabetes. Out-patient management improved metabolic status, reducing risks of malformations and perinatal mortality.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Perinatal Medicine
Context:
- Study focused on 75 pregnancies involving women with pre-existing or gestational diabetes between 1984-1991.
- Prospective outpatient monitoring was implemented to assess metabolic status.
- Investigated the correlation between maternal metabolic control and adverse pregnancy outcomes.
Purpose:
- To evaluate the effectiveness of outpatient management for diabetic pregnancies.
- To determine the rates of malformations and perinatal mortality in this cohort.
- To identify critical factors for improving pregnancy outcomes in diabetic women.
Summary:
- Outpatient controls improved metabolic status in diabetic pregnancies, comparable to other centers.
- Malformation rate was 8%, and perinatal mortality was 6.6%.
- Many patients started monitoring late in pregnancy, with only 6% well-regulated before conception.
Impact:
- Highlights the necessity of pre-conception metabolic optimization for women with diabetes.
- Demonstrates the feasibility and efficacy of outpatient management strategies for diabetic pregnancies.
- Informs clinical practice regarding the timing and intensity of care for diabetic pregnancies.