Medical and Surgical Complications in Pregnancy
A child has TGA. The mother should be investigated for: (AIPG 2011)
Pregnancy is a state of insulin resistance resulting in elevated levels of blood insulin as well as glucose and triglyceride. The insulin antagonism is due to effect of human placental lactogen, estrogen, progesterone, free cortisol.
Effect of diabetes on pregnancy
1. Maternal complications:
b. Preterm labour
d. Increased incidence of preeclampsia
2. Fetal complications:
a. Fetal macrosomia
b. Congenital malformations
c. Birth injuries
d. Fetal growth retardation
e. Unexplained fetal death Some important facts:
f. Most common single organ system to be involved with diabetes: Heart.
g. Most common congenital anamoly seen in fetus of a diabetic woman: Anencephaly.
h. Most common heart anamoly with diabetes:
3. Transposition of great vessels
4. Most specific lesion associated with diabetes:
5. Caudal regression syndrome. .