{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T20:54:20Z","timestamp":1765400060363,"version":"3.46.0"},"reference-count":16,"publisher":"BMJ","issue":"6425","license":[{"start":{"date-parts":[[1984,4,21]],"date-time":"1984-04-21T00:00:00Z","timestamp":451353600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1984,4,21]]},"abstract":"<jats:p>In 1979 the obstetric management of pregnancies in diabetic women in Cardiff was changed from elective delivery at 37-38 weeks to delivery at term. This change was facilitated by home monitoring of blood glucose concentrations and improved techniques for assessing fetal wellbeing. There were 35 pregnancies in insulin dependent diabetics in 1972-8 and 45 in 1979-82. The quality of diabetic control during pregnancy was equally good in both periods. The average gestation at final admission to hospital increased from 30 to 37 weeks. Amniocentesis to assess fetal pulmonary maturity was necessary in 26 patients (74%) in the first period of study and in only four (9%) in the second. Gestational age at delivery increased from 37.4 to 39.4 weeks after the change in policy. The proportion of mothers entering spontaneous term labour and delivering vaginally increased from 14.3% to 37.8%. The mean birth weight of live born, singleton infants increased from 3090 g to 3650 g, the feeding pattern improved, and respiratory problems were less common. Morbidity was reduced and perinatal mortality was not increased with conservative management of pregnancy in diabetic women.<\/jats:p>","DOI":"10.1136\/bmj.288.6425.1203","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1203-1205","source":"Crossref","is-referenced-by-count":22,"title":["Conservative management of pregnancy in diabetic women."],"prefix":"10.1136","volume":"288","author":[{"given":"J","family":"Murphy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Peters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T M","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J F","family":"Pearson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1984,4,21]]},"reference":[{"key":"ref_1","first-page":"547","article-title":"Metabolic observations during neonatal life","volume-title":"diabetes in early life","author":"Persson, B.; Gentz, J.","year":"1975","unstructured":"Persson B, Gentz J. Metabolic observations during neonatal life. In: Camerini-Davalos R, Cole H, eds. Early diabetes in early life. New York: Academic Press, 1975:547-55."},{"key":"ref_2","first-page":"1","article-title":"Antenatal and intrapartum care of the high risk neonate","volume-title":"of the high risk neonate","author":"Merkatz, I.R.; Fanaroff, A.A.","year":"1979","unstructured":"Merkatz IR, Fanaroff AA. Antenatal and intrapartum care of the high risk neonate. In: Klaus MH, Fanaroff AA, eds. Care of the high risk neonate. Philadelphia: W B Saunders, 1979:1-22."},{"key":"ref_3","first-page":"230","article-title":"The special problems of the premature infant","author":"Usher, R.","year":"1981","unstructured":"Usher R. The special problems of the premature infant. In: Avery GB, ed. Neonatology. Philadelphia: J B Lippincott, 1981:230-61."},{"key":"ref_4","first-page":"211","article-title":"Neonatal morbidity in infants of diabetic mothers. 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Med Clin North Am 1977;61:67-87.","journal-title":"Med Clin North Am"},{"key":"ref_13","first-page":"12","article-title":"Possible effects of early separation on later development of children","volume-title":"special care baby units","author":"Richards, M.P.M.","year":"1978","unstructured":"Richards MPM. Possible effects of early separation on later development of children. In: Brimblecombe FSW, Richards MPM, Roberton MRC, eds. Separation and special care baby units. London: Spastics International Medical Publications, Heinemann, 1978:12-32."},{"key":"ref_14","first-page":"137","article-title":"Modern management of the diabetic pregnancy","volume":"49","author":"Agrombuoi, J.; Mann, L.I.; Weiss, R.R.; Tejani, N.A.; Paydar, M.","year":"1977","unstructured":"Agrombuoi J, Mann LI, Weiss RR, Tejani NA, Paydar M. Modern management of the diabetic pregnancy. 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