Eureka! Institutional Repository

There is no clear directive on the most appropriate time and manner of confinement in diabetic pregnant women. Diabetes during pregnancy is associated with increased risk for both the mother and the neonate. Infant of diabetic mother is at increased risk for complications associated with the time of childbirth as endometrial death, injuries of the neonate, hypoglycemia, hypocalcaemia, respiratory distress and jaundice. Furthermore, several perinatal complications due to the influence of high glucose levels of the mother and can be provided with correct adjustment during the conception and pregnancy. Early detection and diagnosis, systematic monitoring, maintaining good metabolic control and recognition of risk factors for the mother and the neonate, have brought dramatic prediction improvement. The proper planning childbirth aims firstly to prevent prematurity and also to avoid prolonged stay of the fetus in the uterus. Also, suitable choice of facts can reduce many caesarean sections. Finally, timing and the manner of birth can reduce complications in both the infant and diabetic mother and should be individualized. In this thesis, there were recorded complications and contingency practices in diabetic pregnant women at a private clinic in the province with a significant number of cases, reflecting the usual treatment of such incidents in Greece.