Managing Labor and Delivery of the Diabetic Mother

Hen Y. Sela, MD; Itamar Raz, MD; Uriel Elchalal, MD

Disclosures

Expert Rev of Obstet Gynecol. 2009;4(5):547-554. 

In This Article

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.[91] 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.

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