Stillbirth in women with Type 1 Diabetes mellitus-still a current topic.
Susanne DargelJana WestphalChristof KloosEkkehard SchleußnerFriederike WeschenfelderTanja GrotenPublished in: Archives of gynecology and obstetrics (2024)
The main risk factors of stillbirth in diabetic pregnancies are high maternal blood glucose levels including pre-conceptional HbA1c and diabetic ketoacidosis. Late acute placental insufficiency are associated with intrauterine death in type 1 diabetes. Despite the elevated risk of near term intrauterine demise there are currently no guidelines on how to monitor pregnancies in type 1 diabetes for fetal distress during the third trimester. Established thresholds for fetal Doppler data indicating fetal distress in normal and growth restricted fetuses may not be applicable for overgrown fetuses. Future research on how to monitor the diabetic fetus needs to be initiated.
Keyphrases
- type diabetes
- gestational age
- birth weight
- blood glucose
- glycemic control
- pregnancy outcomes
- preterm birth
- risk factors
- wound healing
- pregnant women
- electronic health record
- respiratory failure
- polycystic ovary syndrome
- blood pressure
- preterm infants
- blood flow
- metabolic syndrome
- physical activity
- machine learning
- skeletal muscle
- cervical cancer screening
- deep learning
- breast cancer risk