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Macrosomia and Birth Trauma in Infants of Diet Treated Gestational Diabetic Women

  • J. L. Kitzmiller
  • L. A. Hoedt
  • E. P. Gunderson
  • T. S. Theiss
  • C. L. Ceresa
  • A. M. Kitzmiller

Abstract

It is well recognized that untreated gestational diabetes is associated with an excess rate of stillbirths and a high frequency of large for dates (macrosomic) infants. The latter can lead to birth trauma for infants delivered vaginally, or high rates of cesarean sections. Treatment of gestational diabetes should be designed to prevent these complications. Standard treatment has consisted of a well balanced diabetic diet. What is not clear is whether all gestational diabetic women should be automatically treated with insulin. Management by diet alone with good control of blood glucose values has been shown to result in normal perinatal mortality (Gabbe etal., 1977; Adashi etal., 1979). However, perinatal morbidity may remain excessive with just dietary therapy. For example, in Gabbe’s series the incidence of fetal macrosomia in the well controlled diet treated women was 20%.

Keywords

Insulin Therapy Fasting Blood Glucose Gestational Diabetes Maternal Weight Shoulder Dystocia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag/Wien 1988

Authors and Affiliations

  • J. L. Kitzmiller
    • 1
  • L. A. Hoedt
    • 1
  • E. P. Gunderson
    • 1
  • T. S. Theiss
    • 1
  • C. L. Ceresa
    • 1
  • A. M. Kitzmiller
    • 1
  1. 1.Department of Obstetrics, Gynecology, and Reproductive Sciences, Children’s Hospital of San FranciscoUniversity of CaliforniaSan FranciscoUSA

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