PMID: 428684Mar 1, 1979Paper

Diabetes mellitus and pregnancy--management and results at Rikshospitalet, Oslo, 1970-1977

Diabetologia
J JervellK Egge

Abstract

During the years 1970-1977, 234 pregnant diabetics were treated in Oslo. A regimen of close metabolic and obstetric control was used. The total perinatal mortality was 4.3%, and 3.1% in 160 patients followed from before week 28. In 74% of patients mean blood glucose (determined 4 times daily) during the last 5-6 weeks of pregnancy was below 6 mmol/1 and in only one patient above 8 mmol/1. There was a low incidence of ketoacidosis (5 patients), pyelonephritis (3 patients), and severe preeclampsia (1 patient), although mild to moderate preeclampsia occurred in 28 patients. Preeclampsia was not associated with foetal loss. Macrosomia was rare. Respiratory distress occurred in 33 infants, in most cases light to moderate. Two foetal deaths were associated with respiratory distress. Progression of retinopathy was frequent, and appearance of or progression of proliferative changes occurred in 15 patients with retinopathy before pregnancy. Loss of visual acuity was rare, and reading vision was not lost by any patients. Induced vaginal delivery has been used in half the deliveries during the last years, whereas Caesarean section was preferred during the first years. Mean duration of pregnancy at delivery has been 260 days, 256 days duri...Continue Reading

References

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Citations

Feb 1, 1997·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·T HellstedtI Immonen
Jan 1, 1986·Diabetologia·D R Hadden
Apr 27, 1985·Lancet
Nov 1, 1996·Ophthalmology·R Axer-SiegelY Yassur
Jun 1, 1990·Baillière's Clinical Endocrinology and Metabolism·A DornhorstD G Johnston
Jul 11, 1985·The New England Journal of Medicine·N FreinkelB E Metzger
Apr 1, 1993·Diabetic Medicine : a Journal of the British Diabetic Association·J A KilvertA D Wright
Nov 24, 1979·British Medical Journal·I PeacockR B Tattersall
Sep 1, 1986·American Journal of Obstetrics and Gynecology·I K RossavikA A Reiter
Jan 1, 1988·Survey of Ophthalmology·J S Sunness
Oct 1, 1993·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·B RosennT A Siddiqi
Sep 1, 1984·Diabetic Medicine : a Journal of the British Diabetic Association·S R HellerR B Tattersall
Jun 1, 1991·Baillière's Clinical Obstetrics and Gynaecology·J W Hare
Sep 1, 1986·Diabetic Medicine : a Journal of the British Diabetic Association·C LowyJ Goldschmidt
Mar 29, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·M J PlattO McKendrick
Jun 23, 2009·Journal of Travel Medicine·Mads R Buhl, Lars Lindquist

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