J Korean Diabetes > Volume 16(3); 2015 > Article
The Journal of Korean Diabetes 2015;16(3):198-204.
DOI: https://doi.org/10.4093/jkd.2015.16.3.198    Published online September 30, 2015.
임신성 당뇨병과 당뇨병 임신의 간호관리
박정은
Nursing Management in Diabetes during Pregnancy.
Jeong Eun Park
Department of Nursing, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea. parkje33@daum.net
Abstract
The ongoing epidemics of obesity and diabetes have led to higher incidence of gestational diabetes mellitus and pregestational diabetes. GDM is diabetes diagnosed in the second or third trimester of pregnancy that is not clearly overt diabetes. Therefore, women in whom diabetes is detected in the first trimester would be classified as having type 2 diabetes. Women with GDM should be screened for persistent diabetes or prediabetes at 6~12 weeks postpartum. All women of childbearing age with diabetes should be counseled about the importance of strict glycemic control prior to conception. During pregnancy, treatment with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers is contraindicated because their ability to cause fetal damage. Women with diabetes of any kind should be supported in attempts to breastfeed, as it is related to long-term metabolic benefit to both mother and child.
Key Words: Diabetes mellitus, Nursing care, Pregnancy


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