Euglycemia is the most important factor in avoiding

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  • ksenefeld1416
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Euglycemia is the most important factor in avoiding maternal/fetal complications. Maternal hyperglycemia results in glucose crossing the placenta and the fetus manufacturing insulin. Insulin in the fetus acts as a growth hormone producing a large-size, macrosomic infant.
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Newborns of diabetic mothers may incur birth injury, hyperbilirubinemia, hypoglycemia, and neurologic damage. Maternal insulin needs are dramatically reduced following delivery. Points to Remember 2 Complications during labor and delivery Prolonged labor at any stage should be evaluated for fetal, pelvic or uterine dysfunction. Vaginal birth is the birth method of choice and interventions should be directed at accomplishing that goal. Efficient and effective gathering of supplies and personnel is imperative. Assist mother to birth as slowly as possible to prevent maternal/newborn trauma. With nonreassuring fetal status (fetal distress), administer oxygen, increase IV fluids and assist client to turn onto her left side; stop oxytocin (Pitocin).
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  • Spring '15
  • Obstetrics, Vaginal birth, Cardiac output maximizes, Maternal insulin needs

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