Diabetes and pregnancy

Diabetes in pregnant women is associated with an increased risk for maternal and neonatal morbidities and remains a significant medical challenge. Fortunately, the prognosis has changed dramatically, related to an increased clinical awareness of the potential risks for the mother and the infant, better health care and intensive treatment strategies to maintain the closest to normal metabolic milieu. Diabetes and pregnancy may be divided into pregestational diabetes (women previously diagnosed with type 1 or type 2 diabetes) and gestational diabetes defined as any glucose intolerance detected during pregnancy that has evolved from a diagnosis associated with the metabolic risk of type 2 diabetes to a clinical condition associated with higher risks for maternal and perinatal morbidity. Early diagnosis of gestational diabetes is an important step to improve outcomes and systematic or selective screening with the OGTT should be established. Associated with the global epidemic in diabetes, pregnancy associated with diabetes is saturating high-risk obstetric clinics and neonatal intensive care units, becoming a heavy burden to the health care systems around the world.     

门诊系统健康教育在高危妊娠管理中的作用

目的：探讨在高危妊娠管理中门诊系统健康教育的重要性。方法：比较实施以孕妇学校培训和个体化健康教育相结合的系统健康教育与常规产前检查及健康教育对2组高危妊娠管理的影响及孕产妇满意度。结果：高危妊娠的不良结局发生率明显减少,两组新生儿窒息发生率比较有较大差别,观察组明显低于对照组（x2=3．431,P〈0．05）。观察组重度高危例数明显下降（x2=4．27,P〈0．05）。孕产妇满意度提高,医患纠纷明显降低。结论：在产科门诊开展系统的健康教育,是加强高危妊娠管理的重要措施,是减少高危妊娠不良结局,提高产科质量的重要保障。