Diabetes mellitus during pregnancy is the term used for women who had diabetes during pregnant and returned to normal after pregnancy. Many women who develop diabetes during pregnancy return to normal postpartum (after birth), but in some women is not the case.
A pregnant woman needs more insulin to maintain normal carbohydrate metabolism. If not able to produce more insulin, pregnant women can develop diabetes which resulted in changes in glucose metabolism (carbohydrate) and the metabolism of other substances.
Blood glucose levels in pregnant women affects the condition of the fetus in her womb. This is due to glucose across the placenta with ease. The placenta is the channel that drains the nutrients from the woman to the fetus via the bloodstream.
Sometimes diabetes mellitus was first discovered during pregnancy women and develops in later stages of pregnancy. Research at King's College Hospital indicated that utero-placental blood flow in pregnancies with diabetes there is increased fetal aortic blood flow velocity associated with the degree of development of macrosomia (large fetus). Unfavorable impact on the fetus if not handled properly.
In addition, there may arise other cases, such as hidramnion (excess fluid in the bag baby), respiratory disorders in infants, macrosomia (large fetus), fetal death, fetal distress, and congenital disorders.
The more severe diabetes, the greater the complications illnesses suffered by women during pregnancy. Disease severity measured by the complications and duration of diabetes.
Based on the severity of complications, there are three categories of diabetes:
- Group I
Diabetes is diagnosed during pregnancy. After delivery, the mother's condition back to normal as before.
- Group II
Diabetes is diagnosed during pregnancy and settled, after giving birth is still suffering from diabetes.
- Group III
Diabetes that persist and cause disease due to diabetes complications.
In severe conditions, diabetes mellitus during pregnancy not only causes the death of the fetus, but also in women who are pregnant.
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