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Diabetes in Pregnancy: Preconception Care, Trimester-by-Trimester Management, Delivery and Contraception

An obstetrician and gynaecologist's deck on what diabetes does to a woman of childbearing age - infertility, abortions, fetal macrosomia, birth injuries and neonatal complications, intrauterine growth restriction, intrauterine fetal death and congenital malformations - and on management from preconception through the first, second and third trimesters to delivery and contraception. It gives the amniotic lecithin-to-sphingomyelin ratio of 2 or more that advises delivery, induction of labour when macrosomia is not suspected, and replacing long-acting with short-acting insulin at delivery because the insulin requirement falls sharply afterwards.

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