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Books > Medicine > Clinical & internal medicine > Gynaecology & obstetrics
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Controversies in Diabetes and Pregnancy (Paperback, Softcover reprint of the original 1st ed. 1988)
Loot Price: R2,996
Discovery Miles 29 960
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Controversies in Diabetes and Pregnancy (Paperback, Softcover reprint of the original 1st ed. 1988)
Series: Endocrinology and Metabolism, 2
Expected to ship within 10 - 15 working days
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As I read this unique volume on diabetes and pregnancy edited by
Lois Jovanovic, I was struck by two themes that run throughout
these collected chapters. First, this volume provides an excellent
assessment of past problems, present management, and future
challenges presented by dia betes in pregnancy. Orury's unique,
longitudinal experience with diabetes iIi pregnancy provides the
reader with an important overview, as does Coetzee's discussion of
gestational diabetes. Current problems-deter mining the etiology
and prevention of congenital malformations in infants of diabetic
mothers (10M), assessment of antepartum fetal condition, management
of pregnant patients with diabetic retinopathy, recognition of
thyroid dysfunction in the pregnant diabetic woman, and
understanding the multitude of metabolic sequelae observed in the
10M-are thoroughly reviewed. Finally, important considerations for
future treatment and ther apy such as the adaptation of the fetal
pancreas to the disordered intra uterine environment often seen in
maternal diabetes, the use of fetal pan creatic tissue for
transplantation, the application of exercise in the management of
the pregnant woman with diabetes, and the long-term con sequences
for the 10M provide an exciting glimpse into the future. The second
important theme that emerges is the critical role the problem of
diabetes in pregnancy has played in our understanding of maternal
and fetal physiology. Clinical observations supported by basic
research have emphasized the role of fetal fuels in teratogenesis.
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