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Chapter 56 - Gestational Diabetes Mellitus

from Section 10 - Endocrine Disorders in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
Alan D. Cameron
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A healthy 38-year-old secundigravida presents for a first prenatal visit after sonography at your hospital center just dated a spontaneous intrauterine pregnancy at 12+4 weeks’ gestation. Early fetal morphology and sonographic screening markers for aneuploidy are unremarkable. You learn that she and her husband just moved to the country. Five years ago, she had gestational diabetes mellitus (GDM) and delivered vaginally. The patient has no obstetric complaints and has been taking folate-containing prenatal vitamins. She does not drink alcohol, smoke cigarettes, or use any recreational substances.

Keywords

Gestational diabetes mellitusRisk factorsPathophysiology, placental hormones, insulin resistanceDiagnosisPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeAntepartum, intrapartum, postpartum managementCounselling, preconception, antepartumLifestyle modifications
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 718 - 730
Publisher: Cambridge University Press
Print publication year: 2023

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References

Primary Sources

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