A Practical Manual of Diabetes in Pregnancy (Practical Manual of Series)

Edited and authored by international experts,A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes. Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby: Epidemiology and pathophysiology Impaired glucose tolerance and gestational diabetes Prepregnancy and pregnancy care Complications in pregnancy Delivery and post delivery care This practical resource contains treatment recommendations based on the latest research to ensure pregnant women with diabetes receive the best possible care. A PRACTICAL MANUAL OF Diabetes in Pregnancy......Page 2 Contents......Page 8 Contributors......Page 10 Foreword......Page 13 Preface......Page 14 Section 1: Epidemiology and pathophysiology......Page 16 1: Epidemiologic context of diabetes in pregnancy......Page 18 2: Pathophysiology of diabetes in pregnancy......Page 32 3: The placenta in diabetes in pregnancy......Page 41 Section 2: Impaired glucose tolerance and gestational diabetes......Page 50 4: Historical context of hyperglycemia in pregnancy......Page 52 5: Screening for hyperglycemia in pregnancy......Page 60 6: Diagnosis of hyperglycemia in pregnancy......Page 72 7: Rationale for treatment of hyperglycemia in pregnancy......Page 80 Section 3: Prepregnancy and pregnancy care......Page 90 8: Prepregnancy care for Type 1 and Type 2 diabetes......Page 92 9: Provision of pregnancy care......Page 103 10: Insulin regimes in pregnancy......Page 114 11: Oral hypoglycemic agents in pregnancy......Page 124 12: Fetal surveillance in diabetes in pregnancy......Page 132 13: Diet and exercise in diabetes in pregnancy......Page 143 Section 4: Complications in pregnancy......Page 152 14: Malformations and miscarriages in diabetes in pregnancy......Page 154 15: Hypertension in diabetes in pregnancy......Page 161 16: Diabetic nephropathy in pregnancy......Page 168 17: Retinopathy in diabetes in pregnancy......Page 180 18: Autonomic neuropathy in diabetes in pregnancy......Page 191 19: Ketoacidosis in diabetes in pregnancy......Page 199 Section 5: Delivery and postdelivery care......Page 212 20: Obstetric management of labor, delivery, and the postnatal period......Page 214 21: Diabetic management in labor, delivery, and post delivery......Page 226 22: Care of the neonate......Page 235 23: Contraception for the woman with diabetes......Page 245 24: Long-term implications for the mother with hyperglycemia in pregnancy......Page 257 25: Long-term implications for the baby of the hyperglycemic mother......Page 266 Index......Page 273 Epidemiological context of diabetes in pregnancy / David Simmons Pathophysiology of diabetes in pregnancy / Francine H. Einstein The placenta in diabetic pregnancy / Ursula Hiden and Gernot Desoye The historical context of hyperglycaemia in pregnancy / David R. Hadden Screening for hyperglycaemia in pregnancy / David A. Sacks Diagnosis of hyperglycaemia in pregnancy / Marshall W. Carpenter Rationale for treatment of hyperglycaemia in pregnancy / Robert Fraser Pre-pregnancy care for Type 1 and Type 2 diabetes / Rosemary C. Temple Provision of pregnancy care / Susan Quinn ... [et al.] Insulin regimens in pregnancy / David R. McCance and Valerie A. Holmes Oral hypoglycaemic agents in pregnancy / Denice S. Feig Fetal surveillance in diabetic pregnancies / Joanna Girling and Archana Dixit Diet and exercise in diabetic pregnancy / Anita Banerjee and Anne Dornhorst Malformations and miscarriages in diabetic pregnancy / Elisabeth R. Mathiesen and Peter Damm Hypertension in diabetic pregnancy / Elisabeth R. Mathiesen, Lene Ringholm Nielsen, Peter Damm Nephropathy in diabetic pregnancy / Baha M. Sibai Retinopathy in diabetic pregnancy / Catherine B. Meyerle and Emily Y. Chew Autonomic neuropathy in diabetic pregnancy / Jenny E. Myers Ketoacidosis in diabetic pregnancy / Bob Young Obstetric management in labour, delivery, and post delivery / Michael Maresh Diabetic management in labour, delivery, and post delivery / Ciara McLaughlin and David R. McCance Care of the neonate / Jane M. Hawdon Contraception for the woman with diabetes / Penina Segall-Gutierrez and Siri L. Kjos Longterm implications for the mother of hyperglycaemia in pregnancy / Jorge H. Mestman Longterm implications for the baby of the hyperglycaemic mother / David J. Pettitt. A PRACTICAL MANUAL OF Diabetes in Pregnancy 2 Contents 8 Contributors 10 Foreword 13 Preface 14 Section 1: Epidemiology and pathophysiology 16 1: Epidemiologic context of diabetes in pregnancy 18 2: Pathophysiology of diabetes in pregnancy 32 3: The placenta in diabetes in pregnancy 41 Section 2: Impaired glucose tolerance and gestational diabetes 50 4: Historical context of hyperglycemia in pregnancy 52 5: Screening for hyperglycemia in pregnancy 60 6: Diagnosis of hyperglycemia in pregnancy 72 7: Rationale for treatment of hyperglycemia in pregnancy 80 Section 3: Prepregnancy and pregnancy care 90 8: Prepregnancy care for Type 1 and Type 2 diabetes 92 9: Provision of pregnancy care 103 10: Insulin regimes in pregnancy 114 11: Oral hypoglycemic agents in pregnancy 124 12: Fetal surveillance in diabetes in pregnancy 132 13: Diet and exercise in diabetes in pregnancy 143 Section 4: Complications in pregnancy 152 14: Malformations and miscarriages in diabetes in pregnancy 154 15: Hypertension in diabetes in pregnancy 161 16: Diabetic nephropathy in pregnancy 168 17: Retinopathy in diabetes in pregnancy 180 18: Autonomic neuropathy in diabetes in pregnancy 191 19: Ketoacidosis in diabetes in pregnancy 199 Section 5: Delivery and postdelivery care 212 20: Obstetric management of labor, delivery, and the postnatal period 214 21: Diabetic management in labor, delivery, and post delivery 226 22: Care of the neonate 235 23: Contraception for the woman with diabetes 245 24: Long-term implications for the mother with hyperglycemia in pregnancy 257 25: Long-term implications for the baby of the hyperglycemic mother 266 Index 273 9781405179041 Edited and authored by international experts, A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes. Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby: Epidemiology and pathophysiology; Impaired glucose tolerance and gestational diabetes; Prepregnancy and pregnancy care; Complications in pregnancy; Delivery and * Between 2 and 5% of pregnant women have a pregnancy complicatedby diabetes * A practical, easy-to-read manual of the key issues in diabeticpregnancy * Focuses on practical clinical instruction and currentresearch .