Skip to main content

Management of the Pregnant Diabetic - When and How to Deliver

  • Conference paper
Carbohydrate Metabolism in Pregnancy and the Newborn 1978
  • 56 Accesses

Abstract

The policy of premature delivery of the baby and the frequent use of Caesarean section in diabetic pregnancy may cause more problems than it solves. It is suggested that with improved diabetic control and improved methods for assessing the condition of the fetus it is logical that consideration should be given to the prolongation of pregnancy to nearer full term.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anderson, G.G., Cordero, L., Hon, E.H.: Hypertonic glucose infusion during labour- effect on acid-base status, fetal heart rate and uterine contractions. Obstet. Gynecol. 36, 405–414 (1970)

    PubMed  CAS  Google Scholar 

  • Baskett, T.F., Sandy, E.: False negative oxytocin challenge tests. Am. J. Obstet. Gynecol. 123, 106 (1975)

    PubMed  CAS  Google Scholar 

  • Battaglia, F.C.: Proc. CIBA Found. Symp. Pregnancy Metabolism, Diabetes and the Fetus. March/April 1979 (in press)

    Google Scholar 

  • Beard, R.W., Brudenell, J.M.: Fetal monitoring in diabetic pregnancy. In: Early diabetes in early life. Camerini-Davalos, R.A., Cole, H.S. (eds.), pp. 523–529. New York: Academic Press 1975

    Google Scholar 

  • Beard, R.W., Brudenell, J.M., Feroze, R.M., Clayton, S.G.: Intensive care of the high risk fetus in labour. Br. J. Obstet. Gynaecol. 78, 882–893 (1971)

    Article  CAS  Google Scholar 

  • Beard, R.W., Oakley, N.W.: The fetus of the diabetic in fetal physiology and medicine. Beard, R.W., Nathanielsz, P.W. (eds.), pp. 137–157. London: W.B. Saunders 1976

    Google Scholar 

  • Brudenell, J.M., Beard, R.W.: Diabetes in pregnancy. In: Clinics in endocrinology, Pyke, D.A. (ed.), Vd. 1/3, pp. 673–695. London: W.B. Saunders 1972

    Google Scholar 

  • Campbell, S., Wilkin, D.: Ultrasonic measurement of fetal abdominal circumference in the estimation of fetal weight. Br. J. Obstet. Gynaecol. 82, 689–697 (1975)

    Article  PubMed  CAS  Google Scholar 

  • Cardell, B.S.: Hypertrophy and hyperplasia of the pancreatic islets in newborn infants. J. Pathol. Bacteriol. 66, 325–346 (1953)

    Article  Google Scholar 

  • Easterling, W.E., Talbert, L.M.: Estriol excretion in normal and complicated pregnancies. Am. J. Obstet. Gynecol. 107, 417–422 (1970)

    PubMed  Google Scholar 

  • Essex, N.L., Pyke, D.A., Watkins, P.J., Brudenell, J.M., Gamsu, H.R.: Diabetic pregnancy. Br. Med. J. 4, 89–93 (1973)

    Article  PubMed  CAS  Google Scholar 

  • Freeman, R.K.: The use of the oxytocin challenge test for antepartum clinical evaluation of uteroplacental respiratory function. Am. J. Obstet. Gynecol. 121, 481–489 (1975)

    PubMed  CAS  Google Scholar 

  • Gabbe, S.G., Lowensohn, R.I., Mestman, J.H., Freeman, R.K., Goebelsman, U.: Lecithin: Sphingomyelin ratio in pregnancies complicated by diabetes mellitus. Am. J. Obstet. Gynecol. 128, 757–760 (1977a)

    PubMed  CAS  Google Scholar 

  • Gabbe, S.G., Mestman, J.H., Freeman, R.K., Goebelsman, U.T., Lowensohn, R.I., Nochimson, D., Cetrulo, C., Quilligan, E.J.: Management and outcome of pregnancy in diabetes mellitus, classes B to R. Am. J. Obstet. Gynecol. 129, 723–732 (1977b)

    PubMed  CAS  Google Scholar 

  • Gillmer, M.D.G., Beard, R.W.: Fetal and placental function tests in diabetic pregnancy. In: Carbohydrate metabolism in pregnancy and the newborn. Sutherland, H.W., Stowers, J.M. (eds.), pp. 168–194. Edinburgh, London, New York: Churchill-Livingstone 1975

    Google Scholar 

  • Hallman, M., Kulovich, M., Kirkpatrick, E., Sugaman, R.G., Gluck, L. : Phosphatidylinositol and phosphatidylglycerol in amniotic fluid: Indices of lung maturity. Am. J. Obstet. Gynecol. 125, 613–617 (1976)

    PubMed  CAS  Google Scholar 

  • Higginbottom, J., Slater, J., Porter, G., Whitfield, C.R.: Estimation of fetal weight from ultrasonic measurement of trunk circumference. Br. J. Obstet. Gynaecol. 82, 698–701 (1975)

    Article  PubMed  CAS  Google Scholar 

  • Hüter, K.A., Hammacher, K.: Combined investigations of fetal heart rate and tocography in maternal diabetes mellitus. In: Intra-uterine dangers to the foetus. Horsky, J., Stembera, Z.K. (eds.), pp. 211–217. Amsterdam: Excerpta Medica 1967

    Google Scholar 

  • Kubli, F., Boos, R., Rüttgers, H., Hagens, C. v., Vanselow, H.: Antepartum fetal heart rate monitoring. In: Current status of fetal heart rate. Monitoring and ultrasound in obstetrics. Proc. Scientific Meeting R. C. Obstet. Gynaecol., December 1977. Beard, R.W., Campbell, S. (eds.), pp. 28-45, 1978

    Google Scholar 

  • McCranie, W.M., Niebyl, J.R.: A false negative oxytocin challenge test. Obstet. Gynecol. 49, 241–243 (1977)

    PubMed  CAS  Google Scholar 

  • Pedersen, J.: The pregnant diabetic and her newborn, 2nd ed. Copenhagen: Munksgaard 1977

    Google Scholar 

  • Persson, B.: Assessment of metabolic control in diabetic pregnancy. In: Size at birth, pp. 247–274. CIBA Found. Symp. 27. Amsterdam: Elsevier, Excerpta Medica 1974

    Google Scholar 

  • Robert, M.F., Neff, R.K., Hubbell, J.P., Taeusch, H.W., Avery, M.E.: Association between maternal diabetes and the respiratory distress syndrome in the newborn. New Engl. J. Med. 294, 357–360 (1975)

    Article  Google Scholar 

  • Shelley, H.J., Bassett, J.M., Milner, R.D.G.: Control of carbohydrate metabolism in the fetus and newborn. Br. Med. Bull. 31 37–43 (1975)

    PubMed  CAS  Google Scholar 

  • Stubbs, W.A., Stubbs, S.M.: Hyperinsulinism, diabetes mellitus and respiratory distress of the newborn: A common link? Lancet 1978 I, 308–309

    Article  Google Scholar 

  • Usher, R.H., Allen, A.C., McLean, F.H.: Risk of respiratory distress syndrome related to gestational age route of delivery and maternal diabetes. Am. J. Obstet. Gynecol. 111, 826–832 (1971)

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1979 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Beard, R.W. (1979). Management of the Pregnant Diabetic - When and How to Deliver. In: Sutherland, H.W., Stowers, J.M. (eds) Carbohydrate Metabolism in Pregnancy and the Newborn 1978. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66972-9_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-66972-9_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-08798-4

  • Online ISBN: 978-3-642-66972-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics