Babies of women with diabetes are nearly five times more likely to be stillborn; are almost three times more likely to die in the first three months; and twice as many are born with major congenital malformations. The incidence is high—somewhere between 3 and 7 per cent of all pregnant women in the USA have diabetes—and rising; the condition is often complicated by other risk-factors such as obesity and heart disease. This major book gives a comprehensive review of the epidemiology, science and clinical management of gestation diabetes.
Fully updated and revised, it contains new chapters on:
- Fetal growth in normal and diabetic pregnancies
- Genetics
- Congenital anomalies
- Exercise
- Pharmacological management
- Insulin pump therapy
- Hypoglycemia
- The role of ultrasound for timing of delivery
- Thyroid and pregnancy
- Fetal origins of adult disease
- Metabolic syndrome and diabetes following gestational diabetes mellitus
- Psychological and social aspects
The book provides a comprehensive, authoritative, international view of these difficult pregnancies and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and basic scientists working in the field.