Summary
Many authorities are currently suggesting specific strategies for optimal obstetrical management of pregnant diabetic patients which involve early admission, frequent monitoring and a high Caesarean section rate. The author suggests that a more conservative approach may be indicated. In support of this contention, he cites from his personal experience of managing over 1,000 diabetic pregnancies during the past 34 years. As there were no therapeutic abortions, the series is consecutive and unmodified. There wereno maternal deaths, and the perinatal loss during the 34-year period was 7.4%. In the years 1979–1984 the perinatal loss in 285 viables was 4.5%, and the Caesarean section rate was 25.9%. In 87 primigravidae, the Caesarean rate was 31%.
Similar content being viewed by others
References
Kitzmiller JL, Cloherty JP, Graham CA (1982) Management of diabetes and pregnancy. Kozak GP (ed) Clinical diabetes mellitus. W. Saunders, Philadelphia, pp 203–214
Freinkel N, Metzer BE, Potter JM (1983) Pregnancy in diabetes. Ellenberg M, Rifkin H, (eds) Diabetes mellitus. Medical Examination Publishing, New York, pp 689–706
Gabbe SE (1979) Application of scientific rationale to the management of the pregnant diabetic. Merkatz IF, Adam PAJ (eds) The diabetic pregnancy — a perinatal perspective. Grune and Stratton, New York, pp 45–56
Jervell J, Moe N, Skjaeraasen J, Bliptad W, Egge K (1979) Diabetes and pregnancy. Management and results at Rikshopitalet Oslo, 1970–1977. Diabetologia 16: 151–155
Lowy C, Beard RW (1982) The British Survey of Diabetic Pregnancies. Br J Obstet Gynaecol 89: 783–786
Whalley PJ, Leveno KJ (1984) The diabetic pregnancy: essentials of care. Clinical Diabetes 2: 4–83
White P (1971) Pregnancy and Diabetes. Marble A, White P, Bradley RF, Krall LP (eds) Joslin's diabetes mellitus. Lea and Febiger, Boston, pp 581–598
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Drury, M.I. Management of the pregnant diabetic patient — are the pundits right?. Diabetologia 29, 10–12 (1986). https://doi.org/10.1007/BF02427273
Received:
Revised:
Issue Date:
DOI: https://doi.org/10.1007/BF02427273