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==Natural History and Prognosis==
==Natural History and Prognosis==
==Complications==
==Complications==
Poorly controlled gestational diabetes can lead to the growth of a [[macrosomic]] or large baby. This in turn increases the risk of instrumental deliveries (eg [[forceps]], [[vacuum]] and [[caesarean section]]). Babies born to mothers with diabetes are also more likely to have [[hypoglycemia]] and other chemical imbalances which need to be monitored and possibly corrected after birth. These babies may need specialized care in the [[postpartum]] period. Additionally, poor control of diabetes can lead to a variety of birth defects involving the heart, kidneys, eyes, and central nervous system, as well as increased risk of [[miscarriage]].  However birth defects are more common in babies whose mother had diabetes in the first trimester, in which case the mother likely had undiagnosed Type 1 or Type 2 diabetes, rather than gestational diabetes. Gestational diabetes typically does not occur until after the period of [[organogenesis]], thus birth defects are unlikely.
Unlike pre-gestational diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first [[trimester]] (before the 13th week) of pregnancy. Additionally, poor control of diabetes can lead to a variety of birth defects involving the heart, kidneys, eyes, and central nervous system, as well as increased risk of [[miscarriage]].
 
In the future the mother is at increased risk of developing type 2 diabetes.
 
==Complications==
Unlike pre-gestational diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester (before the 13th week) of pregnancy.


Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia.<ref name=UMM>{{cite web | Content was last reviewed by a University of Maryland Medicine expert  | title =Gestational Diabetes | publisher=University of Maryland Medicine | work =An overview of gestational diabetes, including risk factors and treatment | url=http://www.umm.edu/diabetes-info/gesta.htm | year = 2003 | month= May 14 | accessdate=2006-11-29}}</ref>
Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia.<ref name=UMM>{{cite web | Content was last reviewed by a University of Maryland Medicine expert  | title =Gestational Diabetes | publisher=University of Maryland Medicine | work =An overview of gestational diabetes, including risk factors and treatment | url=http://www.umm.edu/diabetes-info/gesta.htm | year = 2003 | month= May 14 | accessdate=2006-11-29}}</ref>

Revision as of 19:10, 19 September 2012

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Overview

Natural History and Prognosis

Complications

Unlike pre-gestational diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester (before the 13th week) of pregnancy. Additionally, poor control of diabetes can lead to a variety of birth defects involving the heart, kidneys, eyes, and central nervous system, as well as increased risk of miscarriage.

Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia.[1]

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References

  1. "Gestational Diabetes". An overview of gestational diabetes, including risk factors and treatment. University of Maryland Medicine. 2003. Retrieved 2006-11-29. Unknown parameter |month= ignored (help); Text " Content was last reviewed by a University of Maryland Medicine expert " ignored (help)

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