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Chapter-19 Intrapartum Management of Diabetic Pregnancy

BOOK TITLE: Clinical Guidelines for Management of Diabetes in Pregnancy

Author
1. Sharma Ritu
2. Sinha Chitra
ISBN
9789352703951
DOI
10.5005/jp/books/18049_20
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. North Delhi Municipal Corporation Medical College, New Delhi, India, NDMC Medical College and Hindu Rao Hospital, New Delhi, NDMC Medical College and Hindu Rao Hospital, New Delhi, Indi
2. Patna Medical College, Patna, Bihar, India, Patna Medical College and Hospital, Patna, Bihar, India
Chapter keywords
Intrapartum management, diabetic pregnancy, diabetes, maternal complication, postpartum hemorrhage, PPH, fetal complication, blood glucose, obstetric management, postpartum care

Abstract

The aim of this chapter is to focus on the intrapartum management of diabetic pregnancy. Diabetes is a common medical condition complicating 6–9% of pregnancies. Pregnancy with diabetes is a high-risk pregnancy because of the associated fetomaternal complications in antepartum, intrapartum, and postpartum periods. Complications in the intrapartum period include maternal complications such as preterm labor, prolonged labor, genital trauma, postpartum hemorrhage (PPH), sepsis and fetal complications such as prematurity, shoulder dystocia, brachial plexus injury, stillbirth, respiratory distress, neonatal hypoglycemia, hypocalcemia, hyperbilirubinemia, and polycythemia. This chapter covers the timing and mode of delivery, blood glucose control during labor and birth, obstetric management, and immediate postpartum care.

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