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Textbook of Diabetes and Pregnancy / Edition 2

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In past years, there have been numerous forums for presentation and discussion of new research findings related to both pregestational and gestational diabetes mellitus. Textbook of Diabetes and Pregnancy provides this information in an educational format. The textbook not only documents the past 80 years of progress in the field, but also presents the most up-to-date tools, techniques, and management protocols to ensure the optimal outcome of pregnancies complicated by diabetes. A scan of the table of contents shows that every topic has been covered from every angle. The editors have put together a panel of world-renowned authors who provide the highest level of evidence-based literature and data upon which a decision can be made about optimal care.
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Editorial Reviews

Doody's Review Service
Reviewer: Gilad A. Gross, MD (Washington University School of Medicine)
Description: This entry in the Series in Maternal Fetal Medicine is devoted to diabetes and pregnancy and explores both types of diabetes, pregestational and gestational. It seeks to answer both the question of how diabetes affects a pregnancy and what impact pregnancy has on the diabetic. The first edition was published five years ago and this update is needed, given the prevalence of this medical condition, the advancing technology, and the ever expanding body of literature on this topic.
Purpose: The purpose is not only to discuss the history of diabetes in pregnancy but to provide specialists in maternal fetal medicine and endocrinology with a basic understanding of the importance of and controversies that surround diabetes and pregnancy. It arms readers with not only the knowledge in understanding the techniques used worldwide for detection of diabetes but the controversies surrounding tightly controlled treatment of both gestational and pregestational diabetics. In addition, it covers the complications of the disease during pregnancy to both the mother and the fetus beginning during the time of embryogenesis. Overall the authors achieve their goals of providing a comprehensive, thorough book devoted to one of the most common medical conditions to complicate pregnancy.
Audience: It is most appropriate for high risk obstetricians and diabetologists who care for pregnant women with pregestational or gestational diabetes, but it has a broader appeal. For example, researchers will benefit from the numerous chapters devoted to the pathophysiology of diabetic embryopathy, genetics, and placental histopathology. General obstetricians/gynecologists do not require such an in-depth book on their personal library shelves, but it should be in a teaching service's library. The authors represent worldwide expertise.
Features: No aspect of diabetes in pregnancy is left unexplored. The organization of chapters has been carefully thought through. The book illustrates the current techniques used for both diagnosis and treatment of diabetic pregnant women. It does a great job of helping to clarify the uses of insulin and other hypoglycemic agents which are becoming more prevalent. It tackles difficult and controversial topics such as delivery timing and delivery mode with an evidence-based approach that can greatly assist practitioners confronted with difficult clinical decisions. Of significant importance to the target audience are the chapters the address both maternal and fetal complications and possible interventions to decrease morbidity. However, the book is so comprehensive that the importance or relevance of some of the chapters can be called into question. For example, while the history of this topic is quite fascinating, readers would be better served if those chapters were combined and more concise. Also, chapters on hormonal replacement in postmenopausal women and general ethics are somewhat of a distraction and are out of place in a focused book such as this. The chapters advance from detection of disease in advanced nations to third world countries and, albeit interesting, this may not be necessary for the general reader. Regarding diagnosis, the values the book uses are more relevant to the European reader as the United States uses milligrams per deciliter and not millimoles.
Assessment: This is a great review of the current understanding of the diagnosis and treatment of diabetes in pregnancy and can be used by both maternal fetal medicine specialists and endocrinologists caring for pregnant patients. For anyone looking for a complete book on diabetes in pregnancy, this is a very worthy purchase.
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Product Details

  • ISBN-13: 9780415426206
  • Publisher: Taylor & Francis
  • Publication date: 3/10/2008
  • Series: Maternal-Fetal Medicine (Creasy) Series
  • Edition description: REV
  • Edition number: 2
  • Pages: 544
  • Product dimensions: 8.70 (w) x 11.40 (h) x 1.40 (d)

Table of Contents

Abbreviations used
Ch. 1 History of diabetic pregnancy 1
Ch. 2 The Priscilla White legacy 13
Ch. 3 The Pedersen legacy 23
Ch. 4 The Freinkel legacy 30
Ch. 5 Pathogenesis of gestational diabetes mellitus 39
Ch. 6 Maternal metabolic adaptation to pregnancy 50
Ch. 7 Epidemiology of gestational diabetes mellitus 64
Ch. 8 Pregnancy in diabetic animals 90
Ch. 9 Immunology of gestational diabetes mellitus 113
Ch. 10 The placenta in diabetic pregnancy 126
Ch. 11 Amniotic fluid in non-diabetic and diabetic pregnancies 148
Ch. 12 Classification of diabetic pregnancy 158
Ch. 13 Detection and diagnostic strategies for gestational diabetes mellitus 168
Ch. 14 Gestational diabetes in developing counties 183
Ch. 15 Diabetes following gestational diabetes mellitus 191
Ch. 16 Nutrient delivery and metabolism in the fetus 201
Ch. 17 Regulation of fetal growth 222
Ch. 18 Pre-implantation embryopathy and maternal diabetes 240
Ch. 19 Fetal oxygenation and mineral metabolism in diabetic pregnancy 253
Ch. 20 Clinical and experimental advances in the understanding of diabetic embryopathy 262
Ch. 21 Fetal maturity 276
Ch. 22 Short-term implications: the neonate 289
Ch. 23 Long-term implications: child and adult 305
Ch. 24 Growth and neurodevelopment of children born to diabetic mothers and to mothers with gestational diabetes mellitus 317
Ch. 25 Management of gestational diabetes mellitus 330
Ch. 26 Nutritional management in diabetic pregnancy: a time for reason not dogma 340
Ch. 27 Insulin therapy in pregnancy 359
Ch. 28 Use oral hypoglycemic agents in pregnancy 379
Ch. 29 Continuous glucose monitoring during pregnancies complicated by diabetes mellitus 394
Ch. 30 Prenatal ultrasound assessment of the diabetic patient 404
Ch. 31 Monitoring in labor 418
Ch. 32 Timing and mode of delivery 430
Ch. 33 Prevention of fetal macrosomia 442
Ch. 34 Timing and delivery of the macrosomic infant: induction versus conservative management 447
Ch. 35 Management of the macrosomic fetus 455
Ch. 36 Hypertensive disorders and diabetic pregnancy 460
Ch. 37 Diabetic retinopathy 475
Ch. 38 Diabetic vascular complications in pregnancy: nephropathy 486
Ch. 39 Diabetic ketoacidosis in pregnancy 495
Ch. 40 Diabetes and multiple pregnancies 502
Ch. 41 Evidence-based medicine and diabetic pregnancy 508
Ch. 42 Databases: a tool for quality management of diabetic pregnancies 519
Ch. 43 Cost analysis of diabetes and pregnancy 529
Ch. 44 Quality of care for the woman with diabetes in pregnancy 539
Ch. 45 Ethical issues in management of pregnancy complicated by diabetes 554
Ch. 46 Legal aspects of diabetic pregnancy 563
Ch. 47 Diabetologic education in pregnancy 578
Ch. 48 Optimal contraception for the diabetic woman 589
Ch. 49 Hormone replacement therapy and diabetes 597
Ch. 50 Diabetes and infertility 606
Index 622
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