Babies of women with diabetes are nearly five times more likely to be stillborn; are almost three times more likely to die in the first three months; and twice as many are born with major congenital malformations. The incidence is high-somewhere between 3 and 7 per cent of all pregnant women in the USA have diabetes-and rising; the condition is often complicated by other risk-factors such as obesity and heart disease. This major book gives a comprehensive review of the epidemiology, science and clinical management of gestation diabetes. Fully updated and revised, it contains new chapters on: Fetal growth in normal and diabetic pregnancies Genetics Congenital anomalies Exercise Pharmacological management Insulin pump therapy Hypoglycemia The role of ultrasound for timing of delivery Thyroid and pregnancy Fetal origins of adult disease Metabolic syndrome and diabetes following gestational diabetes mellitus Psychological and social aspects The book provides a comprehensive, authoritative, international view of these difficult pregnancies and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and basic scientists working in the field.
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