Diabetic-Associated Stillbirth: Incidence, Pathophysiology, and Prevention

Donald J. Dudley

Research output: Contribution to journalReview articlepeer-review

34 Scopus citations

Abstract

All forms of diabetes during pregnancy are associated with an increased risk for stillbirth, defined as fetal death at greater than 20 weeks. The incidence of stillbirth in women who have diabetes has decreased dramatically with improved diabetes care. Diabetic-associated stillbirth is associated with hyperglycemia, resulting in fetal anaerobic metabolism with hypoxia and acidosis. Prevention of stillbirth in women who have diabetes hinges on intensive multidisciplinary prenatal care with control of blood sugars and appropriate fetal surveillance.

Original languageEnglish (US)
Pages (from-to)611-626
Number of pages16
JournalClinics in Perinatology
Volume34
Issue number4
DOIs
StatePublished - Dec 2007

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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