Denice S. This chapter discusses pregnancy in both pre-existing diabetes type 1 and type 2 diabetes diagnosed prior to pregnancy , overt diabetes diagnosed early in pregnancy and gestational diabetes GDM or glucose intolerance first recognized in pregnancy. Some management principles are common to all types of diabetes. The prevalence of pre-existing diabetes has increased in the past decade 1 primarily as a result of the increase in type 2 diabetes 2. Studies of women with pre-existing diabetes show higher rates of complications compared to the general population, including perinatal mortality, congenital malformations, hypertension, preterm delivery, large-for-gestational-age LGA infants, caesarean delivery and other neonatal morbidities 1,3—5.
Exercise during pregnancy: SOGC/ CSEP Position paper
Management of Pregnancy Beyond 40 Weeks' Gestation - American Family Physician
Objective: To improve awareness and knowledge of problematic substance use in pregnancy and to provide evidence-based recommendations for the management of this challenging clinical issue for all health care providers. Options: This guideline reviews the use of screening tools, general approach to care, and recommendations for clinical management of problematic substance use in pregnancy. Outcomes: Evidence-based recommendations for screening and management of problematic substance use during pregnancy and lactation. Evidence: Medline, PubMed, CINAHL, and The Cochrane Library were searched for articles published from using the following key words: substance-related disorders, mass screening, pregnancy complications, pregnancy, prenatal care, cocaine, cannabis, methadone, opioid, tobacco, nicotine, solvents, hallucinogens, and amphetamines. A subsequent search for observational studies was also conducted because there are few RCTs in this field of study. Articles were restricted to human studies published in English. Additional articles were located by hand searching through article reference lists.
New guidelines released for managing nausea, vomiting during pregnancy
Objective: This guideline will review key aspects in the pregnancy care of women with obesity. Part I will focus on pre-conception and pregnancy care. Part II will focus on team planning for delivery and Postpartum Care. Intended users: All health care providers obstetricians, family doctors, midwives, nurses, anaesthesiologists who provide pregnancy-related care to women with obesity. Target population: Women with obesity who are pregnant or planning pregnancies.
These new guidelines were last updated more than 10 years ago. The updated guidelines center informed consent shared decision making and appropriate provider trainer in order to be able to safely and routinely offer vaginal breech births for appropriate candidates. Currently, In the United States, almost all breech babies are delivered by a cesarean. Other places around the globe also follow that trend. In some countries, a breech baby may be born vaginally.