A 35- year old G1PO presents to her obstetrician’s office at 8 weeks gestation. She has history of type I diabetes and is very concerned regarding the possible risks this illness may have on her fetus. All of the following are possible risks that can result from having diabetes in pregnancy Except: (DNB June 2011)
|B||First – trimester spontaneous abortions|
a. Women with IDDM (type I) can experience adverse pregnancy outcomes.
b. The likelihood of successful pregnancy outcomes is very dependent on the degree of sugar control achieved during pregnancy The incidence of major malformations in fetuses of mothers with type I diabetes is 5 to 10%. Many studies also indicate that spontaneous abortion is associated with poor glycemic control.
c. Macrosomia, or excessive fetal growth, is more common in diabetic pregnancies and can lead to problems with fetopelvic disproportion requiring cesarean section.
d. Preterm labor does not occur at an increased frequency in diabetic women.