In the first trimester, patients should have an ultrasonogram assessment (including measurement of crown-rump length) for pregnancy dating and viability. Consider nuchal translucency if the fetus is at high risk for cardiac defects (eg, because of high maternal glycohemoglobin)
In the second trimester, perform a detailed anatomy ultrasonogram at 18-20 weeks, and a fetal echocardiogram if the maternal glycohemoglobin value was elevated in the first trimester.
In the third trimester, perform a growth ultrasonogram to assess fetal size every 4-6 weeks from 26 to 36 weeks in women with overt preexisting diabetes. Perform a growth ultrasonogram for fetal size at least once at 36-37 weeks for women with gestational diabetes mellitus. Consider performing this study more frequently if macrosomia is suggested.
If maternal diabetes is longstanding or associated with known microvascular disease, obtain a baseline maternal electrocardiogram (ECG) and echocardiogram.
Consider an amniocentesis for the fetal lung profile if delivery is contemplated before 39 weeks’ gestation.
Bài viết liên quan
Bài viết mới
Bài viết đã đăng
Bài viết quan tâm
- Diabetes Mellitus and Pregnancy - 11/10/2013 13:25 - Read 4616 times
- Fetal Morbidity - 11/10/2013 11:43 - Read 4078 times
- Insulin and DiateryTherapy - 11/10/2013 13:21 - Read 4077 times
- Screening for Diabetes Mellitus During Pregnancy - 11/10/2013 12:46 - Read 3603 times
- Perinatal Mortality, Morbidity, and Birth Injury - 11/10/2013 12:42 - Read 3551 times
- Maternal Morbidity - 11/10/2013 11:41 - Read 3239 times
- Maternal-Fetal Metabolism in Diabetes - 11/10/2013 11:36 - Read 3237 times
- Gestational Diabetes - 11/10/2013 11:32 - Read 3231 times
- Practice Essentials - 11/10/2013 11:29 - Read 3019 times
- Prepregnancy Management for Preexisting Diabetes - 11/10/2013 13:17 - Read 3017 times