Obstetric and Gynecological Nursing - The Carter Center

- Maternal hyperglycemia should be controlled thus leads
to an increase in fetal insulin production which will cause
neonatal hypoglycmeia
- Monitor fetal condition through out the labour
- A pediatrician should be present during delivery especially
if labout has been induced or labour is premature
Post natal care
Carbohydrate metabolism returns to normal very quickly after
delivery of the placenta and insulin requirements will fall
rapidly, often she needs no insulin during the immediate post
natal period then she will return to her non pregnant insulin
requirement
- Careful observation for PPH if there is polyhydraminos
- A diabetic mother who is breast feeding may need to
increase her carbohydrate intake
- Since diabetic mother is prone to infections advice her, to
change her pads frequently keeps any wound clean and
dry.
- The woman with gestational diabetes will usually
demonstrate normal glucose values by 24 hours after
birth and need no further diet or insulin therapy
- Be certain the woman has contraceptive information as
appropriate
173