Pregled bibliografske jedinice broj: 25698
Autonomic neuropathy in pregnancy of IDDM women
Autonomic neuropathy in pregnancy of IDDM women // Abstracts of the XVI. European Congress of Perinatal Medicine. Prenatal and Neonatal Medicine / Di Renzo, Gian Carlo (ur.).
Huddersfield: The Parthenon Publishing Group, 1998. str. 224-224 (poster, nije recenziran, sažetak, znanstveni)
CROSBI ID: 25698 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Autonomic neuropathy in pregnancy of IDDM women
Autori
Reljanović, Miroslav ; Đelmiš, Josip
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni
Izvornik
Abstracts of the XVI. European Congress of Perinatal Medicine. Prenatal and Neonatal Medicine
/ Di Renzo, Gian Carlo - Huddersfield : The Parthenon Publishing Group, 1998, 224-224
Skup
XVI. European Congress of Perinatal Medicine
Mjesto i datum
Zagreb, Hrvatska, 10.06.1998. - 13.06.1998
Vrsta sudjelovanja
Poster
Vrsta recenzije
Nije recenziran
Ključne riječi
insulin dependent diabetes mellitus; pregnancy; autonomic nerve system; diabetic neuropathy
Sažetak
Objective. The autonomic neuropathy was recently recognised as a potential risk factor in pregnancy of IDDM diabetics. We wish to highlight a poorly recognised problem in the obstetric management of the diabetic mother.
Study design. It was included 44 pregnant IDDM diabetics in the age of 20 to 35 with the minimum two years of diabetes. The normal population, e.g. 30 pregnant women without diabetes in the same age group, were evaluated, because there are no normal values for this population. Cardiovascular tests as well as structured clinical examination was monitored 3 times during pregnancy (once in each trimester). Cardiovascular tests were examined using ProSciCard system. The full battery of tests was performed and six basic tests were evaluated. HbA1c measured the diabetes regulation. Diabetic polyneuropathy were clinically assessed using Dyck's staging system.
Results. The incidence of moderate and severe autonomic neuropathy in IDDM pregnant women was 11.4%. High perinatal morbidity and mortality associated with moderate and severe autonomic neuropathy, especially with gastropathy.
Conclusion. The presence of moderate to severe symptomatic autonomic neuropathy in patients with IDDM is a relative contra-indication to pregnancy. If pregnancy is achieved then the patients should be monitored for the occurrence of significant vomiting.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
