Managing Glycemic Control during Labor
During induction of labor, maternal glycemia can be controlled with an intravenous infusion of regular insulin titrated to maintain hourly readings of blood glucose under 110 mg/dl.[88,89,90] Avoiding intrapartum maternal hyperglycemia may prevent fetal hyperglycemia and reduce the likelihood of subsequent neonatal hypoglycemia. During active labor, insulin use may be greatly reduced and sometimes may not be needed at all. Patients who are using an insulin pump may continue their basal infusion during labor.
Expert Rev of Obstet Gynecol. 2009;4(5):547-554. © 2009 Expert Reviews Ltd.
Cite this: Managing Labor and Delivery of the Diabetic Mother - Medscape - Sep 01, 2009.