Edited and authored by international experts,A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes.Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby:Epidemiology and pathophysiologyImpaired glucose tolerance and gestational diabetesPrepregnancy and pregnancy careComplications in pregnancyDelivery and post delivery careThis practical resource contains treatment recommendations based on the latest research to ensure pregnant women with diabetes receive the best possible care.
Author(s): David McCance, Michael Maresh, David Sacks
Edition: 1
Year: 2010
Language: English
Pages: 280
A PRACTICAL MANUAL OF Diabetes in Pregnancy......Page 2
Contents......Page 8
Contributors......Page 10
Foreword......Page 13
Preface......Page 14
Section 1: Epidemiology and pathophysiology......Page 16
1: Epidemiologic context of diabetes in pregnancy......Page 18
2: Pathophysiology of diabetes in pregnancy......Page 32
3: The placenta in diabetes in pregnancy......Page 41
Section 2: Impaired glucose tolerance and gestational diabetes......Page 50
4: Historical context of hyperglycemia in pregnancy......Page 52
5: Screening for hyperglycemia in pregnancy......Page 60
6: Diagnosis of hyperglycemia in pregnancy......Page 72
7: Rationale for treatment of hyperglycemia in pregnancy......Page 80
Section 3: Prepregnancy and pregnancy care......Page 90
8: Prepregnancy care for Type 1 and Type 2 diabetes......Page 92
9: Provision of pregnancy care......Page 103
10: Insulin regimes in pregnancy......Page 114
11: Oral hypoglycemic agents in pregnancy......Page 124
12: Fetal surveillance in diabetes in pregnancy......Page 132
13: Diet and exercise in diabetes in pregnancy......Page 143
Section 4: Complications in pregnancy......Page 152
14: Malformations and miscarriages in diabetes in pregnancy......Page 154
15: Hypertension in diabetes in pregnancy......Page 161
16: Diabetic nephropathy in pregnancy......Page 168
17: Retinopathy in diabetes in pregnancy......Page 180
18: Autonomic neuropathy in diabetes in pregnancy......Page 191
19: Ketoacidosis in diabetes in pregnancy......Page 199
Section 5: Delivery and postdelivery care......Page 212
20: Obstetric management of labor, delivery, and the postnatal period......Page 214
21: Diabetic management in labor, delivery, and post delivery......Page 226
22: Care of the neonate......Page 235
23: Contraception for the woman with diabetes......Page 245
24: Long-term implications for the mother with hyperglycemia in pregnancy......Page 257
25: Long-term implications for the baby of the hyperglycemic mother......Page 266
Index......Page 273