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A down-to-earth insiderís guide to a healthy pregnancy with diabetes Thinking about having a baby but worried about your type 1 or type 2 diabetes? Thereís a reason for concern: uncontrolled diabetes can lead to health complications for both women and their children. But keeping a tight rein on your blood sugarsóbefore and during pregnancyócan help reduce if not eliminate the risks. Balancing Pregnancy with Pre-Existing Diabetes explains exactly how to have the healthiest pregnancy possible while balancing the rigors of insulin, diet, exercise, and blood sugar control that are the foundation of diabetes management. Author Cheryl Alkon has lived with type 1 diabetes for more than 30 years, and brings a wealth of understanding to the subject. Including the insights of more than 50 women with diabetes and leading medical experts, as well as the latest scientific research, Balancing Pregnancy with Pre-Existing Diabetes covers: Finding the right doctor Pre-pregnancy planning The first, second, and third trimesters Labor and delivery Managing your health needs with those of your child Infertility and pregnancy loss With this myth-busting resource, youíll be armed with the essential information, hope, and inspiration you need for a healthy pregnancy.
This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy.
A user-friendly, pocket-sized reference for all physicians faced with endocrine care and challenges in hospitalized patients, this handbook covers the most common issues leading to an inpatient endocrine consult, providing differential diagnoses, a reasonable and practical approach to investigating and managing the condition, and advice for follow-up. Conditions discussed include thyrotoxicosis and thyroid storm, calcium disorders, osteoporosis, Cushing's syndrome, pheochromocytoma and paraganglioma, primary hyperaldosteronism, hypoglycemia in diabetic and non-diabetic patients, and endocrine issues during pregnancy, among others. Suggestions for further reading are included, providing more context for well-established clinical approaches. Written by experts with years of experience providing endocrinology consultations in a hospital setting, Handbook of Inpatient Endocrinology is a valuable, high-yield resource for endocrine residents and fellows, but it will be equally useful for any busy hospitalist or primary care physician when endocrinology consults are not available.
This book provides a comprehensive overview of critical care obstetrics. The text reviews different diseases and complications that can cause a pregnant patient to go into critical condition, while outlining treatment and management strategies for effective patient care. Critical scenarios covered include obstetric hemorrhage, pulmonary edema in preeclampsia, cardiac arrest, septic shock, abdominal hypertension, uterine rupture, and acute renal failure. Written by experts in the field, Obstetric Catastrophes: A Clinical Guide is a valuable resource for critical care intensivists, obstetricians, and any practitioners involved in the treatment and management of the obstetric patient in critical condition.
Maternal-fetal medicine has evolved over the last three decades to become a well-established discipline. The current understanding of maternal physiology and pathophysiology has allowed us to obtain more accurate diagnoses and to provide more effective treatments of medical, surgical, and obstetrical maternal complications. More importantly, the fetus has become a distinct individual whose in utero environment has become much more accessible to study, diagnose, and treatment. Clinical Maternal-Fetal Medicine addresses the pathophysiology, diagnosis, and treatment of common medical and obstetrical maternal complications and fetal complications. It provides a concise and timely review of clinically relevant topics in this discipline. The textbook is a comprehensive reference covering the wide range of disciplines that make up maternal-fetal medicine.
Pregnancy complicated by diabetes is a medical challenge that can be minimized through a program of expert protocols and patient partnerships. This newly revised edition presents a complete package of these protocols that can help produce healthy infants in pregnancies complicated by type 1, type 2, and gestational diabetes. Topics include: --Pre and Inter-pregnancy counceling, assessment, and management --Contraception in diabetes and prediabetes --Nutrition management of preexisting diabetes --Risk assessment, fetal surveillance and delivery in prenancies complicated by diabetes --Neonatal care of infants of mothers with diabetes --Management of gestational diabetes --Diagnostic testing and fetal surveillance --Use of insulin in pregnancy and assessment of glycemic control --Postpartum concerns for women with diabetes
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Gender differences impact the pathophysiology and clinical burden of diabetes in women. Exploring the complex interplay between gender and diabetes, Diabetes in Women provides a state-of-the-art update from conception to menopause and beyond. Written by experts in the field, Diabetes in Women covers sex differences in cardiometabolic risk, the impact of diabetes on women’s health, diabetes and pregnancy, offspring of the diabetic mother and the disease management of women with diabetes. Chapters include up to date information on cardiometabolic risk in women throughout the lifecycle and the differences between sexes in energy balance and body composition. Prominent authors also explore the impact of poverty and globalization on the emerging epidemic of obesity in developing countries. Designed for primary care and internal medicine physicians, endocrinologists, obstetricians and gynecologists, and trainees and basic scientists in these areas, Diabetes in Women is an invaluable resource and important contribution to the field.
Edited and authored by international experts,A Practical Manual of Diabetes in Pregnancy presents multi-disciplinary evidence-based guidance relevant for all those caring for women with pre-existing or gestational diabetes. Divided into five sections, the book covers everything from preconception to postnatal care, as well as detailing the risks associated with diabetic pregnancy and the long term implications for the mother and baby: Epidemiology and pathophysiology Impaired glucose tolerance and gestational diabetes Prepregnancy and pregnancy care Complications in pregnancy Delivery and post delivery care This practical resource contains treatment recommendations based on the latest research to ensure pregnant women with diabetes receive the best possible care.
As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.