Diabetics have triple the normal rate of asymptomatic bacteriuria. Therefore, a urine culture is obtained initially, and appropriate treatment initiated if it is positive. After cessation of therapy, urinary culture…

Glucose infusion (D5W, lactated Ringer’s solution) is given to all patients in labor unless delivery is immediate, but care is taken to control the infusion at 125 mL/h unless the patient…

Early pregnancy exposure to higher glucose levels results in enhanced rates of abortion and an increased incidence of congenital anomalies. Neonates whose mothers have higher glucose levels over a longer…

The criteria for the diagnosis of GDM are based on the original work of O’Sullivan and Mahan and modified by Carpenter and Coustan (see section on Gestational Diabetes). Risk assessment for…

There are three ways to diagnose preexisting diabetes mellitus and each way must be confirmed by a follow-up test. Criteria for diagnosing diabetes mellitus include:

(1) Symptoms of diabetes…

Deterioration of glucose tolerance occurs normally during pregnancy. Significant metabolic changes are necessary to provide proper energy delivery to the growing conceptus. Hormones associated with pregnancy such as human placental lactogen…