Guideline on pregnancy and diabetes by the society of specialists in perinatology (PUDER), Turkey

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dc.contributor.authorBayram M.
dc.contributor.authorAsyali Biri A.
dc.contributor.authorEsim Büyükbayrak E.
dc.contributor.authorDaglar H.K.
dc.contributor.authorErcan F.
dc.contributor.authorGürsoy Erzincan S.
dc.contributor.authorÇorbacioglu Esmer A.
dc.contributor.authorInan C.
dc.contributor.authorKanit H.
dc.contributor.authorKara Ö.
dc.contributor.authorKatlan D.C.
dc.contributor.authorNas T.
dc.contributor.authorÖcal E.
dc.contributor.authorSagsöz N.
dc.contributor.authorSanhal C.Y.
dc.contributor.authorSahin G.
dc.contributor.authorTimur H.
dc.contributor.authorTurhan U.
dc.contributor.authorGençosmanoglu Türkmen G.
dc.contributor.authorTürkyilmaz G.
dc.contributor.authorBilgin Yanik F.F.
dc.contributor.authorYüksel M.A.
dc.date.accessioned2024-07-22T08:07:34Z
dc.date.available2024-07-22T08:07:34Z
dc.date.issued2020
dc.description.abstractDiabetes mellitus (DM) is the most common endocrinologic problem in pregnancy. In Turkey, the reported prevalance is between 1.9-27.9%, with an average of 7.7%. While some of these cases are pregestational diabetes (PGDM), about 90% are detected during the pregnancy for the first time and diagnosed as gestational diabetes (GDM). Diabetes in pregnancy confers serious risks regarding the fetus, newborn and the mother. Therefore, we offer GDM screening for all pregnant women preferantially between 24-28 weeks of gestation. Either one-step 75-g oral glucose tolerance test (OGTT) or two-step 50-g glucose challenge test and 100-g OGTT may be used for the screening and diagnosis. In pregnancies with high-risk for DM, screening should be performed earlier, if possible, in the first antenatal visit. When GDM is diagnosed, maternal glycemic control is tried to be achieved by diet and exercise program, and if necessary, by using insulin. The use of metformin or glyburide in pregnancy is also possible. In women with the diagnosis of DM before pregnancy, preconceptional control of plasma glucose levels is of utmost importance in order to prevent adverse pregnancy outcomes. In pregnancies with GDM regulated by diet and exercise, pregnancy follow-up may be performed as in the low risk group without any pregnancy complications. If maternal or fetal distress is not observed, delivery is planned between 39+0 -40+6 weeks. Although caesarean section is recommended when estimated fetal weight is 4500 g or more, the mode of delivery may be decided more appropriately on a case-by-case basis. Copyright © 2020 by Türkiye Klinikleri.
dc.identifier.DOI-ID10.5336/jcog.2020-74356
dc.identifier.issn26199467
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14000
dc.language.isoEnglish
dc.publisherOrtadog u Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.
dc.subjectacetylsalicylic acid
dc.subjectalpha fetoprotein
dc.subjectfolic acid
dc.subjectglibenclamide
dc.subjectglucose
dc.subjecthemoglobin A1c
dc.subjectinsulin
dc.subjectmetformin
dc.subjectaneuploidy
dc.subjectArticle
dc.subjectcesarean section
dc.subjectcongenital malformation
dc.subjectdiagnostic test
dc.subjectdiet therapy
dc.subjectelectrocardiography
dc.subjectexercise
dc.subjectfemale
dc.subjectfetus distress
dc.subjectfetus echography
dc.subjectfetus movement
dc.subjectfetus weight
dc.subjectfollow up
dc.subjectgestational age
dc.subjectglucose blood level
dc.subjectglycemic control
dc.subjecthigh risk pregnancy
dc.subjecthuman
dc.subjectinsulin treatment
dc.subjectlaboratory test
dc.subjectlow risk population
dc.subjectmaternal serum
dc.subjectmedical society
dc.subjectmedical specialist
dc.subjectobstetric delivery
dc.subjectoral glucose tolerance test
dc.subjectperinatology
dc.subjectpractice guideline
dc.subjectpregnancy
dc.subjectpregnancy complication
dc.subjectpregnancy diabetes mellitus
dc.subjectpregnancy outcome
dc.subjectpregnant woman
dc.subjectprenatal care
dc.subjectprepregnancy care
dc.subjectprovocation test
dc.subjectpuerperium
dc.subjectscreening test
dc.subjectsecond trimester pregnancy
dc.subjectthird trimester pregnancy
dc.subjecttreatment indication
dc.subjecttreatment planning
dc.subjectTurkey (republic)
dc.titleGuideline on pregnancy and diabetes by the society of specialists in perinatology (PUDER), Turkey
dc.typeArticle

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