Managing Labor and Delivery of the Diabetic Mother

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


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

In This Article

Increasing Prevalence of Diabetes in Pregnancy

The exact incidence of GDM is unknown. The reported incidence in the literature is variable, and depends to a great extent on the characteristics of the population considered and the criteria used for the diagnosis. The risk for GDM is parallel to the risk for Type 2 DM within the general population.[7,8,9,10] Other risk factors include previous GDM, obesity, previous macrosomic newborn, familial history of DM, high parity and older age.[8,9] A Confidential Enquiry into Maternal and Child Health, published in London in 2005, which evaluated pregnancy in women with Type 1 and Type 2 DM during the years 2002-2003, it was reported that Type 1 DM accounted for 0.27% of all births, or one in every 364 births, and the prevalence of Type 2 DM accounted for 0.10% of all births, or one in every 955 births.[3]

The incidence of GDM reported in the USA ranges between 2 and 7%.[7,11,12] Worldwide prevalence is estimated to be between 2.8% (in Washington, DC, USA) and 22% (in Sardinia, Italy).[7] The incidence rates of GDM are increasing worldwide,[13,14] reflecting the increased prevalence of Type 2 DM and obesity.[15,16]


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.