Preconceptional Diabetes Counseling in Gestational Diabetes
Gestational diabetes has been known to be associated with an increased perinatal morbidity and mortality (O’Sullivan etal., 1973; Mestman, 1980; Coustan and Imarah, 1984). A significant number of these pregnancies are complicated by fetal macrosomia with its attendant morbidities of traumatic delivery such as shoulder dys-tocia, brachial plexus injury, or bony trauma and Caesarean section. Furthermore, the infant of the mother with gestational diabetes is at increased risk for other neonatal complications such as hypoglycemia, hypocal-cemia, hyperbilirubinemia and erythemia (Mestman, 1980; Coustan and Imarah, 1984; Coustan and Lewis, 1978; Summary and Recomendations of the 2nd International Workshop-Conference 1985).
KeywordsGestational Diabetes Brachial Plexus Injury Fetal Macrosomia Preconception Counseling Attendant Morbidity
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