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Abstract

Since dedicated centres for the control and treatment of pregnant diabetic women were established in the late 1940s, the perinatal mortality rate for infants of diabetic mothers (IDMs) has decreased remarkably (Table 15.1) and is now approaching that seen in infants of non-diabetic mothers (Pedersen 1977; Gabbe 1981). The frequency of neonatal morbidity in IDMs has also declined significantly in the same period (Mølsted-Pedersen and Kühl 1986a). The explanation for these favourable results is probably multifactorial but is most likely related to a) the coordinated centralized management by a diabetologist, an obstetrician and a neonatologist, (b) optimization of the maternal metabolic control during pregnancy and (c) early detection and treatment of obstetric, fetal and neonatal complications (Mølsted-Pedersen and Kühl 1986b).

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© 1989 Springer-Verlag Berlin Heidelberg

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Kühl, C., Møller-Jensen, B. (1989). Intensified Insulin Treatment in Diabetic Pregnancy. In: Sutherland, H.W., Stowers, J.M., Pearson, D.W.M. (eds) Carbohydrate Metabolism in Pregnancy and the Newborn · IV. Springer, London. https://doi.org/10.1007/978-1-4471-1680-6_15

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  • DOI: https://doi.org/10.1007/978-1-4471-1680-6_15

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1682-0

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