文献类型： 会议论文

第一作者： N. Vitoratos

作者： N. Vitoratos ¹ ; N. Vrachnis ¹ ; G. Valsamakis ¹ ; K. Panoulis ¹ ; G. Creatsas ¹ ;

作者机构： 1.Second Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens Medical School, Athens, Greece

关键词： perinatal mortality;pregnancy;diabetes mellitus;gestational diabetes;glucose

会议名称： Athens Congress on Women's Health and Disease

主办单位：

页码： 94-98

摘要： Perinatal mortality rate (PMR) is one of the most important perinatal health indicators. PMR in diabetic pregnancies varies throughout the world and is higher than the background PMR. The prevalence of pregestational diabetes is in-creasing and is associated with an elevated risk of congenital malformations, macrosomia, preeclampsia, and preterm delivery. The incidence of PMR in preexisting diabetes mellitus ranges considerably, with congenital abnormalities and preterm labor the main factors contributing to the higher PMR. Women with gestational diabetes mellitus or impaired glucose tolerance are a mixed group that may have low to a high PMR, especially if they require insulin in their pregnancy. All the known diabetic women should plan their pregnancies and optimize glycemic control periconceptually and throughout pregnancy, as this reduces the frequency of congenital abnormalities, obstetric complications, and perinatal mortality.

分类号： R173-532