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Obstetrics & Gynecology 1969;34:787-791
© 1969 by The American College of Obstetricians and Gynecologists
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Timing of Delivery in the Pregnant Diabetic Patient

RICHARD H. SCHWARZ, MD, FACOG, GARY A. FIELDS, MD and G CLAYTON KYLE, MD

From the Department of Obstetrics and Gynecology and Medicine, University of Pennsylvania School of Medicine, Philadelphia

Abstract

A departure from the classical management of the pregnant diabetic patient was utilized during 4-years with 133 women, of whom 113 were gestational diabetics. Arbitrary delivery before term was not employed; each patient was seen weekly by an internist-obstetrician team. From Week 30, maternal 24-hr urinary excretion of estriol was obtained weekly and used as a guide to fetal well-being. Only 8 of the 113 gestational diabetics required preterm delivery because of falling estriol values; 16 of the 20 prepregnancy diabetics were delivered at 38 weeks or later. The overall perinatal loss was 2.6%; for the gestational diabetic group was only 0.9%.






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Copyright © 1969 by the American College of Obstetricians and Gynecologists.