PMID: 8598963Mar 1, 1996Paper

Perinatal outcome and long-term follow-up associated with modern management of diabetic nephropathy

Obstetrics and Gynecology
M GordonS G Gabbe

Abstract

To determine outcomes in pregnancies complicated by class F diabetes mellitus cared for at a single center, and to assess renal function in these women. A retrospective review (1988-1994) of all pregnant women with class F diabetes was performed, as well as an evaluation of current renal function. Forty-six pregnancies in 45 women reached a mean (+/- standard deviation) gestational age of 35.8 +/- 2.3 weeks, with a mean birth weight of 2623 +/- 818 g. No deliveries occurred before 30 weeks and 39 (84%) were at least 34 weeks. Perinatal survival was 100%. Women with initial serum creatinine exceeding 1.5 mg/dL or more than 3 g/24 hours proteinuria had an increased risk of early delivery, lower birth weight, preeclampsia, and cesarean delivery. Twenty-four individuals (53%) developed preeclampsia and seven met criteria for severe preeclampsia. By the third trimester, 26 women(58%) had greater than a 1 g/24 hour increase in proteinuria and 16 (36%) demonstrated more than a 15% fall in creatinine clearance. Follow-up was obtained in 34 subjects with a mean duration of 2.8 years. Individuals with initial creatinine clearance greater than 90 mL/minute and less than 1 g of protein per 24 hours had less loss of renal function at follow...Continue Reading

References

Jan 1, 1991·American Journal of Nephrology·E Imbasciati, C Ponticelli
Sep 1, 1991·Clinical Obstetrics and Gynecology·C A Combs, J L Kitzmiller
Jun 6, 1987·British Medical Journal·H H ParvingP A Svendsen
Jul 1, 1988·American Journal of Obstetrics and Gynecology·E A ReeceJ C Hobbins
Jul 15, 1984·American Journal of Obstetrics and Gynecology·R Jovanovic, L Jovanovic
Nov 1, 1994·Archives of Disease in Childhood. Fetal and Neonatal Edition·R Fraser
Jun 1, 1994·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·F U Eke, N N Eke
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert

❮ Previous
Next ❯

Citations

Apr 11, 2000·The Journal of Maternal-fetal Medicine·G Leguizamon, E A Reece
Mar 17, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·D B CarrT R Easterling
Aug 2, 2006·Current Diabetes Reports·Gustavo F LeguizamónAlberto Fernández
Jun 2, 2005·Gynécologie, obstétrique & fertilité·S HiéronimusP Fénichel
Nov 13, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·J Nizard
Oct 11, 2003·Obstetrics and Gynecology·Steven G Gabbe, Cornelia R Graves
Jun 28, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·W SchröderW Rath
Jan 10, 2001·Endocrinology and Metabolism Clinics of North America·L Jovanovic
Mar 1, 2000·Clinical Obstetrics and Gynecology·B M Rosenn, M Miodovnik
Jul 28, 2004·Obstetrical & Gynecological Survey·James Bernasko
Jan 19, 2007·Obstetrical & Gynecological Survey·James Airoldi, Louis Weinstein
Jul 28, 2009·Current Opinion in Obstetrics & Gynecology·Mamoru MorikawaHisanori Minakami
Nov 6, 2007·Clinical Obstetrics and Gynecology·Mark B Landon
Jul 4, 2012·North American Journal of Medical Sciences·Navneet Magon, Monica Chauhan
Sep 22, 2011·Der Internist·M Siekierka-Harreis, L C Rump
Dec 10, 2015·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Kudret ErkenekliDilek Uygur
Jan 25, 2016·Current Diabetes Reports·Lene RingholmElisabeth R Mathiesen
Oct 26, 2005·Diabetic Medicine : a Journal of the British Diabetic Association·O Vérier-MineJ H Fuller
Jul 7, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Kristin M KnightLoralei L Thornburg
Mar 4, 2015·Current Diabetes Reports·Gustavo LeguizamónJosé Alberto Fernández
Jun 25, 2016·Current Diabetes Reports·Anna Z Feldman, Florence M Brown
Dec 16, 2004·Acta Clinica Belgica·G VanhaverbekeC Mathieu
Jan 24, 2009·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Akihide OhkuchiMitsuaki Suzuki
Jan 12, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yariv YogevJacob Bar
Apr 10, 2003·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·M KhandelwalE A Reece
Nov 22, 2018·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics
Mar 30, 2019·Expert Opinion on Pharmacotherapy·Angelo Maria PattiNikolaos Papanas
Aug 25, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Elisabeth R MathiesenPeter Damm
Oct 12, 2002·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·J C KhouryB Sibai
Mar 1, 2012·Journal of Renal Care·Kate Bramham, Daghni Rajasingham
Jan 17, 2019·Current Diabetes Reviews·Monika Zurawska-Klis, Katarzyna Cypryk
Jul 12, 2016·Obstetrics and Gynecology·Jamie L MorganF Gary Cunningham
Nov 7, 2013·The Journal of Clinical Endocrinology and Metabolism·Ian BlumerYariv Yogev
Nov 16, 2018·Journal of Nephrology·Donatella Spotti
Aug 20, 2019·American Journal of Perinatology·Ashley N BattarbeeKim A Boggess
Mar 31, 2007·Advances in Chronic Kidney Disease·Michael J Fischer
Mar 31, 2007·Advances in Chronic Kidney Disease·Douglas L Blowey, Bradley A Warady
Nov 26, 2010·Rheumatic Diseases Clinics of North America·Lisa R Sammaritano

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.