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Counseling key with diabetic nephropathy. (Before Pregnancy).

OB GYN News

| June 01, 2003 | Worcester, Sharon | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

DALLAS -- Diabetic nephropathy does not appear to be adversely affected by pregnancy but pregnancy can most definitely be adversely affected by diabetic nephropathy Pregnant patients with diabetic nephropathy have a greater risk of delivering a preterm or low-birth-weight baby They also have a greater risk of preeclampsia and cesarean section--particularly if glucose is poorly controlled, Dr. Ajay Singh said at a meeting on clinical nephrology sponsored by the National Kidney Foundation.

Spontaneous abortion rates in patients with HCG-positive pregnancy are 25% in the nondiabetic population and 32% in diabetic nephropathy patients with poor glycemic control. Twenty percent to 30% of congenital anomalies result in perinatal deaths in the general population, compared with 50% of congenital anomalies in those with diabetic nephropathy.

Furthermore, the fetal malformation rate is 25% in diabetic nephropathy patients with poor glycemic control; this can be reduced to less than 8% with prepregnancy counseling. Such counseling, along with good glycemic control and eye care throughout pregnancy is ...

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