Correct Answer Macrosomia - thought to be caused by hyperinsulinaemia in the fetus (attempting to cope with increased glycosuria from the mother) - insulin is thought to act as a growth hormone in the fetus thus causing the macrosomia.
Can you think of risks to the mother and fetus of this condition?
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Correct Answer
Shoulder dystocia/risk of hypoxia
Preterm birth
Increased risk of perineal tears
Which of the following are risks associated with diabetes in pregnancy?
Pre-eclampsia Congenital anomalies Stillbirth Miscarriage Acceleration of existing diabetes complications
Correct Answer All above options are risks associated with diabetes in pregnancy.
The risk to women with diabetes and the fetus are significant during pregnancy. Rember:
Improving blood sugar control and lowering HbA1c will reduce the risk of complications in pregnancy
Referral tot he multidisciplinary team as soon as possible for care
Close and frequent monitoring during pregnancy - fortnightly visits to the multidisciplinary team; serial ultrasound scans from 28 weeks; aim for vaginal birth prior to 40 weeks gestation