Management of pregnancy in diabetes mellitus

During pregnancy, women with diabetes are simply required to be under inpatient and outpatient care. The management of pregnancy in diabetes mellitus is followed by strict and specific rules, since such a disease is very dangerous for the baby.

How is pregnancy administered in this disease?

Women with a high risk of developing diabetes with a tolerance to carbohydrates (normal), if the obstetrical anamnesis is not complicated, can be under the supervision of a gynecologist and therapist. Pregnant, however, with an increased risk of developing diabetes in a timely manner should be hospitalized.

With newly developed gestational diabetes, pregnant women should also be urgently hospitalized in a specialized obstetrical ward specifically for this disease or in the endocrinology department in order to perform an additional examination. And also for prophylactic treatment and the choice of a dose of (necessary) insulin. All future mothers with this diabetes afterwards are carefully observed and treated by specialists, according to recommendations. If a woman who is sick with such a disease does not undergo the necessary treatment in time - this can affect the course, as well as the outcome of pregnancy.

It is the most optimal variant of pregnancy management in women with diabetes mellitus - this is a dispensary observation in obstetric departments specialized in this disease. In this case, complete control of pregnant women, both endocrinological and obstetric, is ensured. From the second half of the interesting position, women are usually hospitalized in obstetrical specialized departments, which function on the basis of a multidisciplinary hospital.

After the pregnancy is established for women with diabetes, who first visit a gynecologist, you should immediately warn about possible difficulties in the course of pregnancy, childbirth, about a possible threat to the fetus (hereditary aggravation). She also needs to clarify three mandatory hospitalizations in the hospital to monitor the course of pregnancy.

If there are no complications (midwifery) until 20 weeks of pregnancy, then treatment can be carried out in the department of endocrinology, from the second half of pregnancy usually make hospitalization in the obstetric ward.

What is revealed during hospitalization of future mothers with diabetes

At the initial hospitalization, a thorough clinical examination is usually carried out. At the same time, endocrinological and obstetric diagnoses are established, comorbidities in pregnant women are identified, and the degree of risk is determined, and the issue of maintaining pregnancy is decided. Special preventive treatment courses are being conducted, the optimal dose of insulin is chosen.

The second hospitalization of a woman is carried out at 21-23 weeks of pregnancy, because of the possible worsening and manifestation of complications of pregnancy. The third hospitalization is usually performed at 32 weeks of gestation. At this time, the specialists carefully monitor the baby, the treatment of diabetic and obstetrical complications is being conducted. And also the term and method of delivery are chosen.

Stable, strict stabilization of diabetes, is the main principle of pregnancy in this disease. In pregnant women, the blood glucose level in the blood on an empty stomach should be about 3.3-4.4 mmol / l, after eating an hour after two - up to 6.7 mmol / l.

Also, women with diabetes should be carefully prevented and treated promptly for obstetric complications. It should be remembered that the tendency (increased) for diabetes mellitus of pregnant women to the appearance of severe forms of gestosis, as well as other complications of an interesting situation is determined by strict monitoring of body weight, blood and urine tests, blood pressure, etc. Specialists prescribed a special diet for women. And also in the management of pregnant women who have diabetes, it is necessary to conduct CTG control and ultrasound. These activities are conducted systematically, starting from 12 weeks of pregnancy until the very birth. Therefore, in order not to expose yourself and your baby to a risk, a pregnant woman simply must register, as soon as possible.