Guideline on Pregnancy and Diabetes by the Society of Specialists in Perinatology (PUDER), Turkey

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dc.contributor.authorMerih BAYRAM
dc.contributor.authorAydan ASYALI BİRİ
dc.contributor.authorEsra ESİM BÜYÜKBAYRAK
dc.contributor.authorHalil Korkut DAĞLAR
dc.contributor.authorFedi ERCAN
dc.contributor.authorSelen GÜRSOY ERZİNCAN
dc.contributor.authorAytül ÇORBACIOĞLU ESMER
dc.contributor.authorCihan İNAN
dc.contributor.authorHakan KANIT
dc.contributor.authorÖzgür KARA
dc.contributor.authorDoruk KATLAN
dc.contributor.authorTuncay NAS
dc.contributor.authorEce ÖCAL
dc.contributor.authorNevin SAĞSÖZ
dc.contributor.authorCem Yaşar SANHAL
dc.contributor.authorGüler ŞAHİN
dc.contributor.authorHakan TİMUR
dc.contributor.authorUğur TURHAN
dc.contributor.authorGülay GENÇOSMANOĞLU TÜRKMEN
dc.contributor.authorGurcan TURKYILMAZ
dc.contributor.authorFiliz Fatma BİLGİN YANIK
dc.contributor.authorMehmet Aytaç YÜKSEL
dc.date.accessioned2024-07-24T09:12:26Z
dc.date.available2024-07-24T09:12:26Z
dc.date.issued2020
dc.description.abstractABS TRACT Diabetes 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 duringthe 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. WhenGDM is diagnosed, maternal glycemic control is tried to be achieved by diet and exercise program, and if necessary, by using insulin. Theuse of metformin or glyburide in pregnancy is also possible. In women with the diagnosis of DM before pregnancy, preconceptional controlof plasma glucose levels is of utmost importance in order to prevent adverse pregnancy outcomes. In pregnancies with GDM regulated by dietand 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 weightis 4500 g or more, the mode of delivery may be decided more appropriately on a case-by-case basis.
dc.identifier.DOI-ID10.5336/jcog.2020-74356
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/24508
dc.language.isoeng
dc.titleGuideline on Pregnancy and Diabetes by the Society of Specialists in Perinatology (PUDER), Turkey
dc.typeDiğer

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