在怀孕前和怀孕期间控制原有的糖尿病。

IF 3.4 Q2 PHARMACOLOGY & PHARMACY

Australian Prescriber Pub Date : 2024-02-01 DOI:10.18773/austprescr.2024.002

Leonie K Callaway, Fiona Britten

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引用次数: 0

摘要

计划怀孕的原有糖尿病妇女最好在专科中心接受高质量、多学科的孕前护理；这已被证明可改善妊娠结局。在受孕前、整个孕期和哺乳期，优化血糖管理对减少不良事件至关重要。建议从妊娠 12 周开始服用小剂量阿司匹林，以预防先兆子痫。母乳喂养对患有糖尿病的妇女非常有利；妇女通常需要额外的支持来建立和维持母乳喂养。高质量的产后护理和有效的避孕措施至关重要。

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Managing pre-existing diabetes prior to and during pregnancy.

Women with pre-existing diabetes who are planning a pregnancy ideally should receive high-quality, multidisciplinary preconception care in a specialist centre; this has been shown to improve pregnancy outcomes. Optimising glycaemic management is essential prior to conception and throughout pregnancy and breastfeeding to minimise adverse events. Low-dose aspirin is recommended from 12 weeks gestation for prevention of pre-eclampsia. Breastfeeding is highly advantageous in women with pre-existing diabetes; women often need additional support with establishment and maintenance of breastfeeding. High-quality postpartum care and effective contraception are essential.

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来源期刊

Australian Prescriber MEDICINE, GENERAL & INTERNAL-PHARMACOLOGY & PHARMACY

CiteScore

3.80

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： Australian Prescriber is Australia''s free, national, independent journal of drugs and therapeutics. It is published every two months online. Our purpose is to help health professionals make informed choices when prescribing, including whether to prescribe a drug or not. To do this we provide independent, reliable and accessible information. As well as publishing short didactic reviews, we facilitate debate about complex, controversial or uncertain therapeutic areas. We are part of NPS MedicineWise, an independent, non-profit organisation providing medicines information and resources for health professionals, and stakeholders involved in the quality use of medicines. NPS MedicineWise is funded by the Australian Government Department of Health.