R. Vlădăreanu *, H. Bumbea **, Irina Pacu *
* Radu Vlădăreanu, șef de lucrări, medic primar obstretică-ginecologie, UMF “Carol Davila” Bucurști, Clinica de ObstreticăGinecologie, Spitalul de Urgență, Sf. Pantelimon
** Horia Bumbea, medic secundar medicină internă, Spitalul Colțea, București
* Irina Pacu, medic secundar obstretică-ginecologie, preparator, UMF “Carol Davila” București, Clinica de Obstretică-Ginecologie, Spitalul de Urgență Sf. Pantelimon
Abstract
Diabetic pregnancy is an important health care problem which suppose a permanent cooperaton between the obstetrician, endocrinologist, general practitioner and pediatrist in order to reduce maternal and fetal risks. Fetal evaluation begin from preconceptual period with specific methods for each gestational age. Is of a great importance to descover as soon as it is possible any congenital abnoralities which are more common in these cases. During the last months of gestation is important to diagnose fetal macrosomia. Diet and insuline therapy of a pregnant diabetic woman must mentain a constant level of glycemic profile and to aviod low is very high levels. Actual is well known it is no reason for premature birth. Cesarean deliveri is indicated in 30 – 50% of cases. Shoulders dystocia is very frecvent associated with macrosomia. A good control of glycemia intra and postpartum is very important but also very difficult to mentain.