Moderate physical activity is indicated provided there are no contraindications (bleeding, etc), it improves glycolic control.
Parturition
The DG is not an indication for cesarean delivery or delivery before 38 completed weeks of gestation, however, after this period the risk of macrodome is greater. Thus, if the fetus is viable, you must program delivery for 38 weeks (4).
http://www.myarticleseo.com/article/to-inhale-the-steam
For scheduled delivery, the woman must remain fasting, apply 1/3 of the morning dose of insulin and receive continuous infusion of glucose 5%. Glycolic control should be done with capillary glucose and insulin administration 4/4h adjusts if necessary.
Postpartum
Breastfeeding should be encouraged, and if hyperglycemia during this period, this should be managed with insulin. http://www.myhotarticles.us/article/to-inhale-the-steam
From the 6th week after delivery, the patient should be reevaluated with new fasting and classified according to current diagnostic criteria (11).
Obstetric and prenatal complications
Uncomplicated DG is not associated with a higher mortality rate, but increases the risk of macrodome (> 4 kg) and other fetal morbidities, such as hypoglycemia, hypocalcaemia, polycythemia and prolonged jaundice.
The patients with GD have higher risk of developing hypertension and require cesarean section (4). It is important to monitor blood pressure and prod epineuria dosage.
Long-term Complications
No comments:
Post a Comment