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4 - Diabetes Mellitus Liu Wei Department of Ob Gy Ren Ji...

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Diabetes Mellitus Liu Wei Department of Ob & Gy Ren Ji hospital
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General Consideration Diabetes mellitus complicating pregnancy Diabetes mellitus is diagnosed before this pregnancy Gestational diabetes mellitus (GDM) Carbohydrate intolerance of varying degree of severity with onset or first recognition during pregnancy. Incidence 1%-2% (our country); 1%-10% (other countries)
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The impact of pregnancy on DM The first half of pregnancy 1. Relative insulin sensitivity: insulin requirement↓ 2. Morning sickness: hypoglycemia The latter half of pregnancy 1. Increased insulin resistance: placental hormones↑ 2. Intake↓intrapartum: hypoglycemia 3. Postpartum: placental hormones↓→hypoglycemia
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Effects on mother and fetus Effects on monther 1. Spontaneous abortion 2. Preeclampsia 3. Infection: urinary infection 4. Polyhydramnios ( 羊羊羊羊 ) 5. Fetal macrosomia( 羊羊羊 ), dystocia( 羊羊 ) 6. Ketoacidosis ( 羊羊羊羊羊 )
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Effects on mother and fetus Effects on fetus 1. Fetal macrosomia 2. Fetal growth restriction 3. Premature labor 4. Fetal malformation Effects on infant 1. RDS 2. Hypoglycemia
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