Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
On a broad national basis, it should be quite possible to substantially reduce maternal morbidity and the disproportionately high numbers of perinatal losses associated with diabetic pregnancies. Nationwide, the overall perinatal mortality rate for this group is approximately 20%, which is at least double that incurred in centers where intensive care facilities and personnel are available, and consistent, well-coordinated care by the health team is provided. Although the prognosis for fetal survival is less favorable with advances in severity of the diabetic state, there is a significant risk even during the mildest stage of the disease. Careful prospective studies, notably those of O'Sullivan and his group, have demonstrated that gestational diabetics have a higher than normal perinatal mortality. Prevention begins with diagnosis.
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