Diabetic-associated stillbirth: incidence, pathophysiology, and prevention |
| |
Authors: | Dudley Donald J |
| |
Institution: | Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA. dudleyd@uthscsa.edu |
| |
Abstract: | All forms of diabetes during pregnancy are associated with an increased risk for stillbirth, defined as fetal death at greater than 20 weeks. The incidence of stillbirth in women who have diabetes has decreased dramatically with improved diabetes care. Diabetic-associated stillbirth is associated with hyperglycemia, resulting in fetal anaerobic metabolism with hypoxia and acidosis. Prevention of stillbirth in women who have diabetes hinges on intensive multidisciplinary prenatal care with control of blood sugars and appropriate fetal surveillance. |
| |
Keywords: | |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|