A Practical Manual of Diabetes in Pregnancy

by McCance, David; Maresh, Michael; Sacks, David

• ISBN13: 9781405179041
• ISBN10: 140517904X
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-04-26
• Publisher: Wiley-Blackwell

Summary

This practical guide for the multidisciplinary team (physician, obstetrician, specialist nurse) involved in the care of pregnant patients with diabetes shows how to incorporate the NICE guidelines into treatment. Emphasizing diagnosis, treatment, prognosis, and follow-up, the book serves as a practical, easily read manual of the key issues in diabetic pregnancy while also pointing to current research and areas needing further study. Most chapters include an illustrative case history and relevant tables/pictures. Each chapter contains a series of references graded in order of importance.

Author Biography

David R. McCance Bsc, MD, FRCP, DCH Consultant Physician/Honorary Professor of Endocrinology, Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, Northern Ireland, UK
Michael Maresh MD, FRCOG Consultant Obstetrician, St Mary's Hospital for Women, Manchester, UK
David A. Sacks MD, FACOG Adjunct Investigator, Southern California Permanente Medical Group, Pasadena, California; Clinical Professor Keck School of Medicine, University of Southern Califormia, Los Angeles, California, USA

Table of Contents

List of Contributors

Foreword

Preface

Epidemiology and PathoPhysiology

Epidemiological context of diabetes in pregnancy

Pathophysiology of diabetes in pregnancy

The placenta in diabetic pregnancy

Impaired glucose tolerance and gestational diabetes

The historical context of hyperglycaemia in pregnancy

Screening for hyperglycaemia in pregnancy

Diagnosis of hyperglycaemia in pregnancy

Rationale for treatment of hyperglycaemia in pregnancy

Prepregnancy and Pregnancy Care

Pre-pregnancy care for Type 1 and Type 2 Diabetes

Provision of pregnancy care

Insulin regimens in pregnancy

Oral hypoglycaemic agents in pregnancy

Fetal surveillance in diabetic pregnancies

Diet and exercise in diabetic pregnancy

Complications in pregnancy

Malformations and miscarriages in diabetic pregnancy

Hypertension in diabetic pregnancy

Nephropathy in diabetic pregnancy

Retinopathy in diabetic pregnancy

Autonomic Neuropathy in Diabetic Pregnancy

Ketoacidosis in diabetic pregnancy

Delivery and post delivery care

Obstetric management in labour, delivery and post delivery

Diabetic management in labour, delivery and post delivery

Care of the neonate

Contraception for the woman with diabetes

Longterm implications for the mother of hyperglycaemia in pregnancy

Longterm implications for the baby of the hyperglycaemic mother

Useful sources

Index

Table of Contents provided by Publisher. All Rights Reserved.