Gestational Diabetes Mellitus Risk Assessment Screening Diagnosis And Management Before During And After Pregnancy
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Gestational Diabetes Mellitus Risk Assessment Screening Diagnosis And Management Before During And After Pregnancy
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Author : A. Seval Ozgu-Erdinc
language : en
Publisher: Frontiers Media SA
Release Date : 2023-04-26
Gestational Diabetes Mellitus Risk Assessment Screening Diagnosis And Management Before During And After Pregnancy written by A. Seval Ozgu-Erdinc and has been published by Frontiers Media SA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-04-26 with Medical categories.
Screening And Diagnosing Gestational Diabetes Mellitus
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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-03-23
Screening And Diagnosing Gestational Diabetes Mellitus written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-23 with Medical categories.
Gestational diabetes mellitus (GDM) is defined as glucose intolerance first discovered in pregnancy. Pregestational diabetes mellitus refers to any type of diabetes diagnosed before pregnancy. Pregnant women with pregestational diabetes experience an increased risk of poor maternal, fetal, and neonatal outcomes. The extent to which GDM predicts adverse outcomes for mother, fetus, and neonate is less clear. Depending on the diagnostic criteria used and the population screened, the prevalence of GDM ranges from 1.1 to 25.5 percent of pregnancies in the United States. The incidence of GDM has increased over the past decades in parallel with the increase in rates of obesity and type 2 diabetes mellitus, and this trend is expected to continue. It is unclear how much the increase in obesity will affect the proportion of women diagnosed with overt diabetes during pregnancy versus transient pregnancy-induced glucose intolerance. GDM is usually diagnosed after 20 weeks' gestation when placental hormones that have the opposite effect of insulin on glucose metabolism increase substantially. Women with adequate insulin secreting capacity overcome this insulin resistance of pregnancy by secreting more endogenous insulin to maintain normal blood glucose. Women with less adequate pancreatic reserve are unable to produce sufficient insulin to overcome the increase in insulin resistance, and glucose intolerance results. Glucose abnormalities in women with GDM usually resolve postpartum, but commonly recur in subsequent pregnancies. Women with GDM have an increased risk of future development of overt diabetes. The cumulative incidence of diabetes after a diagnosis of GDM varies widely depending on maternal body mass index (BMI), ethnicity, and time since index pregnancy, and it may reach levels as high as 60 percent. When glucose abnormalities persist postpartum in a woman with GDM, her diabetes is recategorized as overt diabetes. When this occurs, the likelihood that this woman had pregestational (i.e., overt) diabetes increases, especially if the diagnosis of GDM occurred before 20 weeks' gestation and glucose levels were markedly elevated in pregnancy. Based on systematic reviews published in 2003 and 2008, the USPSTF concluded that there was insufficient evidence upon which to make a recommendation regarding routine screening of all pregnant women for GDM. The primary aims of this review were to (1) identify the test properties of screening and diagnostic tests for GDM, (2) evaluate the potential benefits and harms of screening at greater than or equal to 24 weeks and less than 24 weeks' gestation, (3) assess the effects of different screening and diagnostic thresholds on outcomes for mothers and their offspring, and (4) determine the effects of treatment in modifying outcomes for women diagnosed with GDM. The benefits and harms of treatments were considered in this review to determine the downstream effects of screening on health outcomes. The intent of this review was also to assess whether evidence gaps in the previous USPSTF reviews have been filled. Key questions include: Key Question 1: What are the sensitivities, specificities, reliabilities, and yields of current screening tests for GDM? (a) After 24 weeks' gestation? (b) During the first trimester and up to 24 weeks' gestation? Key Question 2: What is the direct evidence on the benefits and harms of screening women (before and after 24 weeks' gestation) for GDM to reduce maternal, fetal, and infant morbidity and mortality? Key Question 3: In the absence of treatment, how do health outcomes of mothers who meet various criteria for GDM and their offspring compare to those who do not meet the various criteria? Key Question 4: Does treatment modify the health outcomes of mothers who meet various criteria for GDM and their offspring? Key Question 5: What are the harms of treating GDM and do they vary by diagnostic approach?
Gestational Diabetes During And After Pregnancy
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Author : Catherine Kim
language : en
Publisher: Springer Science & Business Media
Release Date : 2010-09-16
Gestational Diabetes During And After Pregnancy written by Catherine Kim and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-09-16 with Medical categories.
Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.
Weight Gain During Pregnancy
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Author : National Research Council
language : en
Publisher: National Academies Press
Release Date : 2010-01-14
Weight Gain During Pregnancy written by National Research Council and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-01-14 with Medical categories.
As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
Quick Hits In Obstetric Anesthesia
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Author : Roshan Fernando
language : en
Publisher: Springer Nature
Release Date : 2022-02-07
Quick Hits In Obstetric Anesthesia written by Roshan Fernando and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-02-07 with Medical categories.
This book provides easy to follow guidance on how to manage emergency situations and common problems in obstetric anesthesia. The book provides different anesthetic recipes for obstetric procedures and describes challenges that will be encountered on a day-to-day basis. There are trouble-shooting chapters and ‘what to do lists’ for frequent dilemmas. The book covers obstetric-specific resuscitation and medical emergencies seen on the labor ward. Antenatal and postpartum complications relating to anesthesia are covered as well as issues that may arise during follow up of patients who have had neuraxial anesthesia during delivery. Quick Hits in Obstetric Anesthesia should be used as a cognitive aid for emergency cases and as a decision-making tool for urgent management plans. It is a guide to common problems and provides core knowledge to facilitate anesthesia care on labor wards for all grades of anesthetist.
Mayo Clinic Guide To A Healthy Pregnancy
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Author : the pregnancy experts at Mayo Clinic
language : en
Publisher: Da Capo Lifelong Books
Release Date : 2011-05-01
Mayo Clinic Guide To A Healthy Pregnancy written by the pregnancy experts at Mayo Clinic and has been published by Da Capo Lifelong Books this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-05-01 with Health & Fitness categories.
Any woman looking for accurate, reliable, and authoritative information on pregnancy will appreciate this book from the world-class Mayo Clinic. The Mayo Clinic Guide to a Healthy Pregnancy offers hundreds of pages of in-depth information that new parents will find useful and informative. Features include week-by-week updates on baby's growth, month-by-month changes that mom can expect, and a forty-week pregnancy calendar, as well as a symptom guide and a review of important pregnancy decisions. In this illustrated book you'll also find advice on getting pregnant, meal planning, healthy exercise, and safe medication use, along with general tips on becoming a parent. This pregnancy book is the result of the efforts of a collective team of pregnancy experts who find nothing in medicine more exciting and satisfying than the birth of a healthy child with a healthy mother. The Mayo Clinic Guide to a Healthy Pregnancy is an essential pregnancy resource for parents-to-be.
Low Glycemic Index Diet
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Author : Janette Brand Miller
language : en
Publisher:
Release Date : 2008
Low Glycemic Index Diet written by Janette Brand Miller and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Diet therapy categories.
The Low GI Diet is the only science-based diet that is proven to help you lose weight and develop a lifetime of healthy eating habits that can help you achieve optimum health and wellbeing and protect against illness and disease. This guide features: an effective 12-week action plan based on low GI eating, exercise, and activity goals for each week which will enable you to lose up to ten per cent of your current body weight; plus an ongoing maintenance program tips to help you maintain weight loss for life delicious recipes and meal plans the GI tables with the GI values of all your favourite foods. The result: A slimmer, fitter, healthier you for the rest of your life! Brought to you by the authors of the worldwide bestselling The New Glucose Revolution series on the glycemic index, The Low GI Diet explains how choosing low GI carbohydrates can help you feel fuller for longer and increase your energy levels making weight loss achievable and sustainable. A companion volume to the newly revised and updated The Low GI Handbook. Start losing weight and improving your overall health today.
Managing Complications In Pregnancy And Childbirth
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Author :
language : en
Publisher: World Health Organization
Release Date : 2003
Managing Complications In Pregnancy And Childbirth written by and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Childbirth categories.
The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.
Diagnosis Of Diabetes
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Author :
language : en
Publisher:
Release Date : 2004
Diagnosis Of Diabetes written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Diabetes categories.
Case Discussions In Obstetrics Gynecology
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Author : YM Mala
language : en
Publisher: Jaypee Brothers Medical Publishers
Release Date : 2020-07-31
Case Discussions In Obstetrics Gynecology written by YM Mala and has been published by Jaypee Brothers Medical Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-31 with Medical categories.