Management of pregnant patients with diabetes with ischemic heart disease.

Management of pregnant patients with diabetes who have ischemic heart disease (IHD) remains a challenging clinical dilemma for obstetricians and maternal fetal specialist alike. The diagnosis of women with IHD is difficult, primarily because of a lack of awareness of the atypical characteristics at presentation by both patient and provider. Counseling of women regarding pregnancy when they are diabetic with IHD is best done before conception. Management by trimester should focus on careful monitoring of maternal cardiac status and stabilization of glycemic control without hypoglycemia. Delivery and postpartum care remain critical in the avoidance of complications and mortality. Copyright © 2013 Elsevier Inc. All rights reserved.

Citation

Theodore B Jones, Zeynep Alpay Savasan, Quinetta Johnson, Ray Bahado-Singh. Management of pregnant patients with diabetes with ischemic heart disease. Clinics in laboratory medicine. 2013 Jun;33(2):243-56

PMID: 23702115

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