Diabetes y embarazo katyexpo
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Transcript of Diabetes y embarazo katyexpo
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Johnny Núñez López Natasha Amézquita Marcano Katherine Abreu Gómez
a:
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40% 10a
Diabesidad
Frecuente
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Aumento de células adiposas
Hiperglucemia
materna
Hiperinsulinemia fetal
Obesidad Resistenci
a a la insulina
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Edad 30a
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o Clasificación durante el embarazo Presencia o
ausencia de buen control metabólico
materno
Presencia o ausencia de
vasculopatía de origen diabético
materno1986
Colegio de ginecólogos y obstetras
Priscilla White
1978
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Diabetes manifiesta
Asociación de diabetes
Riesgo de retinopatía aumentado a concentraciones de 126mg/ml
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La hiperglucemia en ayunas en etapas tempranas de la gestación quizás represente diabetes manifiesta
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50g
100g
140mg/100ml
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Crecimiento fetal excesivo
Traumatismo al
momento del
nacimiento
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Maternos Fetales
PreeclamsiaInfecciónHemorragia postpartoCesárea
HipoglucemiaHipocalcemiaMacrosomiaParto traumáticoMayor riesgo de muerte
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Peso al nacer mayor de 4500g
Homb
ro y
tronc
o
Distocia de hombr
o3%
Requieren cesárea por desproporción cefalopelvica
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Factor de riesgo
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cardiorespiratorio
Reduce el riesgo de DM
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Williams Obstetricia deF. Gary CunninghamNorman F. GantKenneth J. Leveno
Larry C. Gilstrap IiiJohn C. HauthKatharine D. Wenstrom
Bibliografía:
Fundamentos Endocrinología Ginecológica
Germán Barón Castañeda