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Chapter-08 Artificial Maturation of Fetus in all Kinds of Diabetes

BOOK TITLE: Donald School Textbook of Diabetic Pregnancy and Ultrasound

Author
1. Ahmed Badreldeen
2. Gojnic Miroslava
3. Perovic Milan
4. Pantic Igor V
ISBN
9789352701964
DOI
10.5005/jp/books/18036_10
Edition
1/e
Publishing Year
2018
Pages
13
Author Affiliations
1. Feto-maternal Unit, Women’s Hospital, Hamad Medical Corporation, Doha, Qatar, Women’s Hospital, Hamad Medical Corporation, Doha, State of Qatar, Doha, State of Qatar, Hamad Medical Corporation, Doha, Qatar, Weill Cornell Medical College, Doha; Feto Maternal Centre, Doha, Qatar, Weill Cornell Medical College; Feto Maternal Centre, Doha, Qatar, Weill Cornell Medical College, Doha, Qatar; Feto-Maternal Centre, Doha, Qatar, Women’s Hospital, Hamad Medical Corporation, Doha, Qatar, Weill Cornell Medical College, Doha, Qatar; Qatar University, Doha; University Sarajevo School of Science and Technology
2. School of Medicine, University of Belgrade; Clinical Center of Serbia, Belgrade, Serbia
3. Legal and Business Studies, Singidunum University, Belgrade, Serbia
4. School of Medicine, University of Belgrade, Institute of Medical Physiology, Belgrade, Serbia
Chapter keywords
Artificial maturation, fetus, diabetes, type 1 diabetes, type 2 diabetes, gestational diabetes, antenatal therapy, prophylaxis, antenatal corticosteroid therapy, antenatal steroid therapy

Abstract

Preterm delivery is the most important issue in perinatology due to several facts. The most important one refers to prematurity as the leading cause of death in children under the age of five. Therefore, this chapter is dedicated to artificial acceleration of fetal lungs in imminent or initiated preterm delivery, with emphasis on modality treatments of those pregnancies complicated with different types of diabetes. This chapter covers the physiology processes in fetal lung maturation, pathophysiological processes that influence fetal lung maturation in pregnancies complicated by diabetes, synthetic corticosteroids for antenatal therapy and prophylaxis, implications of antenatal corticosteroids for fetal lung maturation in women with diabetes, recommendations for management policy for women with preexisting diabetes requiring antenatal corticosteroid therapy, recommendations for management policy for women with gestational diabetes requiring antenatal corticosteroid therapy, recommendations for management policy for women with diabetes requiring antenatal corticosteroid therapy in the setting with predominately subcutaneous insulin treatment, and contemporary role of ultrasonography in pregnancies complicated with diabetes with emphasis on those that require antenatal steroid therapy.

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