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Overview :
Diabetes during pregnancy may be associated with morbidity
and mortality for the fetus and mother. Certain findings may indicate a high
risk for complications and warrant more aggressive management.
Factors of Pedersen and Molsted-Pedersen:
(1) "late enrollers" (no prenatal care)
(2) "neglectors" (no modification of lifestyle for
pregnancy, with poor diabetic control)
(3) toxemia
(4) febrile pyelonephritis
White's diabetic classes associated with risk to the fetus:
(1) nephropathy with hypertension (F)
(2) cardiopathy
(H)
(3)
vasculopathy with calcifications in major arteries of pelvis and lower
extremity (E, D4)
Other:
(1) extremely brittle diabetes (may be managed with use of
an insulin pump)
(2) severe ketoacidosis
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