A Practical Manual of Diabetes in Pregnancy / Edition 1

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Edited and authored by international experts,A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes. Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby: Epidemiology and pathophysiology Impaired glucose tolerance and gestational diabetes Prepregnancy and pregnancy care Complications in pregnancy Delivery and post delivery care This practical resource contains treatment recommendations based on the latest research to ensure pregnant women with diabetes receive the best possible care.

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Editorial Reviews

Doody's Review Service
Reviewer: Anthony Shanks, MD (Washington University School of Medicine)
Description: This guide to diabetes in pregnancy is a practice manual for obstetric practitioners in any country.
Purpose: The book serves to be a definitive guide on this subject. The chapters cover screening, diagnosis, and complications of diabetes in pregnancy. The authors represent a spectrum of expertise from many countries.
Audience: The audience is residents and physicians who care for diabetic pregnant patients. The book is easy to read and new information is presented in a very clear manner. The diversity of authors provides a unique view.
Features: Chapters begin with practice points that are a vital component of the presentation and then progress in a logical manner, beginning with epidemiology before moving into pathophysiology. The depth of information is notable. Rather than simply mentioning the complications associated with diabetes, the book devotes chapters to topics such as hypertension, nephropathy, and retinopathy. The use of tables and figures is also excellent. More color would enhance the text, but this is a small quibble. Often books with authors from multiple nations result in confusing perspectives (via statistics and language), but this book avoids that pitfall. The use of case histories is also very interesting for readers.
Assessment: This book attempts to be a definitive resource on the topic of diabetic complications unique to pregnancy. It does very well in achieving this goal. It is very easy to read and the material has good clinical applicability.
From the Publisher
"This book attempts to be a definitive resource on the topic of diabetic complications unique to pregnancy. It does very well in achieving this goal. It is very easy to read and the material has good clinical applicability." (Doddy's, 9 September 2011)

"Each chapter commences with important learning points, includes a patient vignette and ends with a detailed summary of references. This evidence-based book will be invaluable for anyone aiming to provide the very best care for pregnant women with diabetes.” (Practical Diabetes International, 2010)

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Product Details

  • ISBN-13: 9781405179041
  • Publisher: Wiley
  • Publication date: 5/10/2010
  • Series: Practical Manual of Series, #4
  • Edition number: 1
  • Pages: 268
  • Product dimensions: 7.60 (w) x 9.80 (h) x 0.90 (d)

Meet the Author

David McCance, Physician, Royal Victoria Hospital, Belfast, Northern Ireland

Michael Maresh, Obstetrician, St Mary’s Hospital, Manchester, UK

David Sacks, Obstetrician, Kaiser Foundation Hospital, Bellflower, California, USA

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Table of Contents

List of Contributors



Section 1 Epidemiology and pathophysiology 1

1 Epidemiologic context of diabetes in pregnancy David Simmons Simmons, David 3

2 Pathophysiology of diabetes in pregnancy Francine H. Einstein Einstein, Francine H. 17

3 The placenta in diabetes in pregnancy Gernot Desoye Desoye, Gernot 26

Section 2 Impaired glucose tolerance and gestational diabetes 35

4 Historical context of hyperglycemia in pregnancy David R. Hadden Hadden, David R. 37

5 Screening for hyperglycemia in pregnancy David A. Sacks Sacks, David A. 45

6 Dignosis of hyperglycemia in pregnancy Marshall W. Carpenter Carpenter, Marshall W. 57

7 Rationale for treatment of hyperglycemia in pregnancy Robert Fraser Fraser, Robert 65

Section 3 Prepregnancy and pregnancy care 75

8 Prepregnancy care for Type 1 and Type 2 diabetes Rosemary C. Temple Temple, Rosemary C. 77

9 Provision of pregnancy care Martin K. Rutter Rutter, Martin K. 88

10 Insulin regimens in pregnancy Valerie A. Holmes Holmes, Valerie A. 99

11 Oral hypoglycemic agents in pregnancy Denice S. Feig Feig, Denice S. 109

12 Fetal surveillance in diabetes in pregnancy Archana Dixit Dixit, Archana 117

13 Diet and exercise in diabetes in pregnancy Anne Dornhorst Dornhorst, Anne 128

Section 4 Complications in pregnancy 137

14 Malformations and miscarriages in diabetes in pregnancy Peter Damm Damm, Peter 139

15 Hypertension in diabetes in pregnancy Peter Damm Damm, Peter 146

16 Diabetic nephropathy in pregnancy Baha M. Sibai Sibai, Baha M. 153

17 Retinopathy in diabetes in pregnancy Emily Y. Chew Chew, Emily Y. 165

18 Autonomic neuropathy in diabetes in pregnancy Jenny E. Myers Myers, Jenny E. 176

19 Ketoacidosis in diabetes in pregnancy Bob Young Young, Bob 184

Section 5 Delivery and postdelivery care 197

20 Obstetric management of labor, delivery, and the postnatal period Michael Maresh Maresh, Michael 199

21 Diabetic management in labor, delivery, and post delivery David R. McCance McCance, David R. 211

22 Care of the neonate Jane M. Hawdon Hawdon, Jane M. 220

23 Contraception for the woman with diabetes Siri L. Kjos Kjos, Siri L. 230

24 Long-term implications for the mother with hyperglycemia in pregnancy Jorge H. Mestman Mestman, Jorge H. 242

25 Long-term implications for the baby of the hyperglycemic mother David J. Pettitt Pettitt, David J. 251

Index 258

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