Abstract
Successful pregnancy depends on the ability of maternal physiology to adjust to the demands of the feto-placental unit1. In women with diabetes mellitus (DM), however, multisystem functional and occasionally anatomical changes may accompany the metabolic abnormalities which characterize the condition1,2. Pregnancy in a woman with DM thus merits particular attention. The ultimate goal in any pregnant woman is to achieve a healthy baby who will integrate into an enduring family unit. Both husband and wife need to appreciate the problems associated with diabetic pregnancy and the implications of diabetic complications, such as nephropathy, on long-term lifestyle, health and survival. To achieve the goal of a successful pregnancy in a young woman with insulin-dependent diabetes mellitus (IDDM), especially if microvascular complications are present, the patient requires knowledge of the importance of prepregnancy and pregnancy glycaemic control, the skills and facilities to achieve such control, the outlook and lifestyle which will allow her to apply her knowledge and skills, and careful co-ordinated care by a team comprising an experienced obstetrician, physician and neonatologist. Motivation to achieve this outcome is normally very hight and most diabetic women can be reassured about a successful outcom of pregnancy.
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Pearson, D.W.M., Sutherland, H.W. (1988). Pregnancy and Diabetic Nephropathy. In: Catto, G.R.D. (eds) Pregnancy and Renal Disorders. New Clinical Applications, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2615-8_4
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DOI: https://doi.org/10.1007/978-94-009-2615-8_4
Publisher Name: Springer, Dordrecht
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