Care of the Pregnant Woman with Insulin-Dependent Diabetes Mellitus

THE expectations for a viable birth in pregnancy complicated by diabetes have never been better in centers where a large number of diabetic pregnant women receive their care from teams of specially trained physicians and members of the allied health professions. By the end of the 1970s, perinatal losses in such optimal settings had been reduced from 33 per cent (the incidence that obtained during the period 1920 to 1930) to 6.5 per cent,¹ and even better results were being observed in some clinics.^{2 3 4 5 6} Indeed, within the past few years, some centers have reported perinatal mortality figures for the offspring…