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Diabetes mellitus und Schwangerschaft

Die Geburtshilfe

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die Betreuung einer Schwangeren mit Typ-1- oder Typ-2-Diabetes stellt eine große Herausforderung dar. Durch eine präkonzeptionelle Optimierung der Blutzuckereinstellung und Behandlung von Spätkomplikationen können schwere mütterliche (Progression von Retino- und Nephropathie, Stoffwechselentgleisung in Richtung hyper- oder hypoglykämisches Koma, eine erhöhte Inzidenz von Präeklampsie, Infektionen) wie kindliche Komplikationen (Hyperinsulinismus, der mit Makrosomie, Organomegalie, intrauterinerer Asphyxie; Frühgeburtlichkeit, intrauterine Wachstumsrestriktion/Fruchttod) verringert werden.

Die Probleme beim Gestationsdiabetes (GDM) entsprechen teilweise (diabetische Fetopathie) denen von Schwangerschaften mit vorbestehendem Diabetes mellitus. Sie sind allerdings wegen fehlender diabetischer Spätkomplikationen und geringerer Hyperglykämie weniger ausgeprägt und nicht mit einer diabetischen Embryopathie assoziiert.

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Authors and Affiliations

  1. St. Joseph-Krankenhaus, Perinatalzentrum Level 1, Berliner Diabeteszentrum für Schwangere, Wüsthoffstr. 15, 12101, Berlin, Deutschland

    Ute M. Schaefer-Graf

  2. Medizinische Universität Wien, Universitätsklinik für Innere Medizin III, Währinger Gürtel 18-20, 1090, Wien, Ӧsterreich

    Alexandra Kautzky-Willer

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Correspondence to Ute M. Schaefer-Graf .

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  1. Univ.Klinikum Bern Frauenklinik, Bern, Switzerland

    Henning Schneider

  2. Klinische Abt. Geburtshilfe und Feto-maternale Medizin, Medizinische Universität Wien Universitätsklinik für Frauenheilkunde, Wien, Austria

    Peter-Wolf Husslein

  3. München, Germany

    Karl - Theo Maria Schneider

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Schaefer-Graf, U.M., Kautzky-Willer, A. (2015). Diabetes mellitus und Schwangerschaft. In: Schneider, H., Husslein, PW., Schneider, K . (eds) Die Geburtshilfe. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44369-9_26-1

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    Diabetes mellitus und Schwangerschaft
    Published:
    15 August 2023

    DOI: https://doi.org/10.1007/978-3-662-44369-9_26-2

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    Diabetes mellitus und Schwangerschaft
    Published:
    16 April 2015

    DOI: https://doi.org/10.1007/978-3-662-44369-9_26-1

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