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Denice S. This chapter discusses pregnancy in both pre-existing diabetes type 1 and type 2 diabetes diagnosed prior to pregnancy , overt diabetes diagnosed early in pregnancy and gestational diabetes GDM or glucose intolerance first recognized in pregnancy. Some management principles are common to all types of diabetes. The prevalence of pre-existing diabetes has increased in the past decade 1 primarily as a result of the increase in type 2 diabetes 2. Studies of women with pre-existing diabetes show higher rates of complications compared to the general population, including perinatal mortality, congenital malformations, hypertension, preterm delivery, large-for-gestational-age LGA infants, caesarean delivery and other neonatal morbidities 1,3—5. Preconception care improves maternal and fetal outcomes in women with pre-existing diabetes.
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Canada's Obstetricians Release Updated Breech Guidelines: Informed Consent is Key

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Guideline No. Pregnancy and Maternal Obesity Part 1: Pre-conception and Prenatal Care

Objective: To describe the needs and evidence-based practice specific to care of the pregnant adolescent in Canada, including special populations. Outcomes: Healthy pregnancies for adolescent women in Canada, with culturally sensitive and age-appropriate care to ensure the best possible outcomes for these young women and their infants and young families, and to reduce repeat pregnancy rates. Evidence: Published literature was retrieved through searches of PubMed and The Cochrane Library on May 23, using appropriate controlled vocabulary e. Results were limited to English or French language materials published in or after
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Alcohol use and pregnancy consensus clinical guidelines

Published online May. Author information Article notes Copyright and License information Disclaimer. Corresponding author. Received Mar 13; Accepted Apr.
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