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Pregnancy Complicated With Diabetes - Coursework Example

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The paper "Pregnancy Complicated With Diabetes" states that efficient care through the pregnancy with monitoring of foetal growth and appropriate treatment with insulin during labour ensures both maternal and foetal well-being. A high-risk pregnancy can lead to extreme stress in the pregnant woman…
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Pregnancy Complicated With Diabetes
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Download file to see previous pages Depending on the time of gestation and the type of diabetes mellitus the character of these metabolic changes will vary. (Bender HS, Chickering WR, 1985.)
In the aetiology of complications of diabetic pregnancy, the disturbances of intermediary metabolism play a major role, in addition to abnormalities of immune function in both the mother and foetus, as well as in the placenta ( Fallucca F, 1997). The metabolic changes in insulin-dependent diabetes mellitus include postprandial hyperaminoacidemia, hyperlipidemia, and hyperglycaemia. (Reece EA, Homko C, Wiznitzer A, 1994.)
In particular, maternal hyperglycaemia results in foetal hyperglycaemia, which is corrected by increasing insulin secretion and consequent foetal hyperinsulinism. Embryo-foetal pathology occurs due to modified concentration of foetal nutrients and hyperglycaemia. The main features are malformation, hypertrophic cardiomyopathy, placental insufficiency, pre-eclampsia, macrosomia, foetal intrauterine death, delay in foetal lung maturity, hypoglycaemia, and neonatal hypocalcaemia. (Vannini P, 1994.)
Pregnant women with diabetes should be seen at the earliest in a combined clinic comprising of a team that includes an obstetrician and a physician with a special interest in diabetes and pregnancy, a specialist diabetes dietician, a specialist diabetes nurse and a specialist midwife. It must be emphasized to the patient that pregnancies in women with diabetes are regarded as high-risk pregnancies and that they might need more frequent visits to the antenatal clinic. The frequency of visits will depend on an individual basis. (Care Recommendation, 2005).
These women have an increased risk of having babies with neural tube defects (NTDs) and are therefore required to take a daily supplement of 5mg of folic acid before conceiving and during the first 12 weeks of pregnancy. ...Download file to see next pages Read More
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