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Unformatted text preview: 3. Intrapartum care Aim for vaginal delivery at term. If poor control of diabetes or macrosomia baby consider caesarean section at 39 weeks. Insulin sliding scale can be used in vaginal birth labour. However if there are any signs of maternal or foetal distress, convert to lower segment caesarian section. Involve the paeds team, as the baby is more likely to be hypoglycaemic at birth. After delivery, pre-existing DM can return to pre-pregnancy medication and GDM can stop the insulin. 4. Follow-up: An OGTT should be performed 6/52 after delivery as these women are at an increased risk of developing NIDDM later in life. Prevention There are no known preventative measures for gestational diabetes...
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- Fall '10