DIABETES MELLITUS AND PREGNANCY. PART II. PECULIAR PROPERTIES, MANAGEMENT OF PATIENTS

Background: diabetes mellitus is one of the most widespread diseases in the world and one of those which lead to complications. One of the factors, which influence the clinical course of diabetes mellitus and its complications is pregnancy. Aim: to study the peculiarities of diabetes mellitus clinical course and its complications in pregnancy as well as the management of diabetes mellitus in pregnant women depending on the gestational age, clinical course of diabetes mellitus and its complications. Material and methods: 34 sources of literature by native and foreign authors on the studied subject have been analyzed. Results: it has been established that the clinical course of diabetes mellitus in pregnancy is labile and contributes to the development of vascular complications in a mother. Strict control of glycaemia, the introduction of a regimen of multiple insulin injections have a positive effect on the clinical course of pregnancy and birth of a healthy child. Conclusion: the application of intensified insulin therapy in pregnant women with diabetes mellitus, improved management and treatment of pregnant women, application of modern technologies have given opportunities to improve pregnancy outcomes in a mother and a child: the frequency of severe forms of gestosis, hydramnion, premature birth, perinatal mortality has decreased.