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Obstetric Management of a Pregnant With Type I Diabetes and Poor Metabolic Control - A Case Report | OMICS International| Abstract
ISSN: 2376-127X

Journal of Pregnancy and Child Health
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  • Case Report   
  • J Preg Child Health,
  • DOI: 10.4172/2376-127X.1000349

Obstetric Management of a Pregnant With Type I Diabetes and Poor Metabolic Control - A Case Report

Carla Duarte1, Adriano Soares1, Diana Coelho1, Cláudia Guerra1, Pedro Oliveira1, Luísa Sousa2 and Humberto S Machado3,4*
1Serviço de Ginecologia and Obstetrícia, Hospital Senhora da Oliveira, , Guimarães, Portugal
2Serviço de Ginecologia and Obstetrícia, Centro Hospitalar Entre Douro e Vouga, , Portugal
3Serviço de Anestesiologia, Centro Hospitalar do Porto, , Portugal
4Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, , Portugal
*Corresponding Author : Humberto S Machado, Serviço de Anestesiologia, Centro Hospitalar do Porto, Portugal, Tel: +351935848475, Fax: +351222009483, Email: [email protected]

Received Date: Aug 05, 2017 / Accepted Date: Sep 28, 2017 / Published Date: Oct 05, 2017

Abstract

Pregnancy in women with type I diabetes is associated with an increased risk of fetal, neonatal and maternal complications. This increased risk is directly related to the preconception and gestational metabolic control. Poor glycemic control before and throughout pregnancy is associated with adverse outcomes. In preconception period, congenital anomalies and spontaneous abortions occur often. During pregnancy, the mother is at an increased risk for hypoglycemia or diabetic ketoacidosis as well as accelerated retinopathy, renal function deterioration, pregnancy induced hypertension or pre-eclampsia. The fetus is also at increased risk of macrosomia and intrauterine demise. Appropriate diet counseling, a tight glycemic control and early diagnosis and close monitoring of complications can prevent or minimized adverse effects improving pregnancy outcomes. We present a case of a pregnant woman with type I diabetes with poor metabolic control. Clinical optimization and pregnancy monitoring were a challenge for both the pregnant and the health care professionals involved.

Keywords: Type I diabetes; pregnancy; Metabolic control

Citation: Duarte C, Soares A, Coelho D, Guerra C, Oliveira P, et al. (2017) Obstetric Management of a Pregnant With Type I Diabetes and Poor Metabolic Control - A Case Report. J Preg Child Health 4: 349. Doi: 10.4172/2376-127X.1000349

Copyright: © 2017 Duarte C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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