Hypertension and the pregnancy complicated by diabetes

被引:8
作者
Leguizamón G.F. [1 ]
Zeff N.P. [1 ]
Fernández A. [1 ]
机构
[1] Diabetes in Pregnancy Unit, Department of Obstetrics and Gynecology, Center of Medical Education and Clinical Research (C.E.M.I.C.) University, Buenos Aires
关键词
Diabetic Nephropathy; Preeclampsia; Gestational Diabetes Mellitus; Obstet Gynecol; Gestational Diabetes;
D O I
10.1007/s11892-006-0064-1
中图分类号
学科分类号
摘要
Diabetes is a frequent complication of pregnancy. Type 1 diabetes is associated with an increased incidence of preeclampsia and pregnancy-induced hypertension. When renal dysfunction is present, the incidence of these complications is remarkably increased. White's class, poor glycemic control during the first half of pregnancy, and early blood pressure elevation are also independent risk factors for developing preeclampsia. Whether gestational diabetes increases the background incidence of preeclampsia is still debated. Because therapeutic interventions such as low-dose aspirin and antioxidants have not been shown to be effective, preventive measures rely on tight blood glucose control, as well as adequate blood pressure treatment. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:297 / 304
页数:7
相关论文
共 47 条
[1]  
A Strategic Plan for the 21st Century, (1999)
[2]  
ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 60, March 2005. Pregestational diabetes mellitus, Obstet Gynecol, 105, pp. 675-685, (2005)
[3]  
Gestational diabetes mellitus, Diabetes Care, 27, SUPPL. 1, (2004)
[4]  
Brody S.C., Harris R., Lohr K., Screening for gestational diabetes: A summary of the evidence for the U.S. Preventive Services Task Force, Obstet Gynecol, 101, pp. 380-392, (2003)
[5]  
Bernasko J., Contemporary management of type 1 diabetes mellitus in pregnancy, Obstet Gynecol Surv, 59, pp. 628-636, (2004)
[6]  
Hiilesmaa V., Suhonen L., Teramo K., Glycaemic control is associated with pre-eclampsia but not with pregnancy-induced hypertension in women with type I diabetes mellitus, Diabetologia, 43, pp. 1534-1539, (2000)
[7]  
Hanson U., Persson B., Epidemiology of pregnancy-induced hypertension and preeclampsia in type I (insulin-dependent) diabetic pregnancies in Sweden, Acta Obstet Gynecol Scand, 77, pp. 620-624, (1998)
[8]  
Miodovnik M., Rosenn B.M., Khoury J.C., Et al., Does pregnancy increase the risk for development and progression of diabetic nephropathy?, Am J Obstet Gynecol, 74, pp. 1180-1189, (1996)
[9]  
Sibai B.M., Caritis S., Hauth J., Et al., Risks of preeclampsia and adverse neonatal outcomes among women with pregestational diabetes mellitus. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units, Am J Obstet Gynecol, 182, pp. 364-369, (2000)
[10]  
Combs C.A., Rosenn B., Kitzmiller J.L., Et al., Early-pregnancy proteinuria in diabetes related to preeclampsia, Obstet Gynecol, 82, pp. 802-807, (1993)