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Ninety-eight insulin-dependent diabetic patients were cared for during 108 pregnancies following an ambulatory program aimed at close control of blood sugar levels. The incidence of respiratory distress syndrome (RDS) in these patients was not different from that in nondiabetic patients. Fetal pulmonary maturity seemed to progress at a normal rate as evidenced by an equal incidence of mature lecithin/sphingomyelin (L/S) ratios at various stages of gestation in diabetic and nondiabetic patients. There was no evidence that Class B and C diabetic patients have delayed fetal lung maturation or that Class E, F, and R patients have accelerated maturation. It is concluded that careful metabolic control of the pregnant diabetic patient results in a normal process of fetal pulmonary maturation without increased risk of RDS.
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
March 1973,
American journal of obstetrics and gynecology,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
March 1972,
Clinical chemistry,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
August 1977,
Zeitschrift fur Geburtshilfe und Perinatologie,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
July 1974,
American journal of obstetrics and gynecology,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
June 1978,
Canadian Medical Association journal,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
November 1981,
Obstetrics and gynecology,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
January 1976,
Journal of perinatal medicine,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
April 1977,
British journal of obstetrics and gynaecology,
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
January 1973,
Lancet (London, England),
L B Curet, and
R W Olson, and
J M Schneider, and
R D Zachman
March 1977,
Obstetrics and gynecology,
