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Pre-pregnancy planning 

Pre-pregnancy planning
Chapter:
Pre-pregnancy planning
DOI:
10.1093/med/9780199593033.003.0010
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date: 23 October 2019

Glycaemic control in early pregnancy bears a strong association with adverse pregnancy outcomes most notably congenital anomaly.

Pre-pregnancy planning is critical to allow optimization of medication and assessment of complications of diabetes.

Women should be advised of the risk of worsening of complications. If they have established nephropathy or macrovascular disease should only proceed to pregnancy if fully appraised of the potential ill effects on their or their child's health.

All women with diabetes should be encouraged to plan pregnancies and attend pre-pregnancy clinics.

Health professionals attending to women of childbearing age should raise women's awareness of the need for pre-pregnancy advice and planning.

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