• Aust Prescr · Feb 2024

    Review

    Managing pre-existing diabetes prior to and during pregnancy.

    • Leonie K Callaway and Fiona Britten.
    • Royal Brisbane and Women's Hospital.
    • Aust Prescr. 2024 Feb 1; 47 (1): 262-6.

    AbstractWomen with pre-existing diabetes who are planning a pregnancy ideally should receive high-quality, multidisciplinary preconception care in a specialist centre; this has been shown to improve pregnancy outcomes. Optimising glycaemic management is essential prior to conception and throughout pregnancy and breastfeeding to minimise adverse events. Low-dose aspirin is recommended from 12 weeks gestation for prevention of pre-eclampsia. Breastfeeding is highly advantageous in women with pre-existing diabetes; women often need additional support with establishment and maintenance of breastfeeding. High-quality postpartum care and effective contraception are essential.(c) Therapeutic Guidelines.

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