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Diabetes and Pregnancy; Maternal Fetal Risks

This course discusses the various risks associated with pregnancy in a woman with type 1, type 2 or gestational diabetes. It also reviews the potential risk for the fetus of a woman with diabetes. This course is part of a 7 hour CE course (home study or live, see www.diabetesedu.org for more information) provided by the Diabetes Education Society. This program combines some of the Overview and all of the Maternal Fetal Risks of the longer program. The presenter is Gayle Curto, RN, CDE from John Meuir Diabetes Center Walnut Creek, CA.

Questions relating to the content are asked at the end of the presentation. A case study is reviewed including questions about the case. These questions and case study serve as the posttest.

Includes Audio: Yes
Length: 2.00 hour(s)
CE Credit:Please note that after 6-30-2010 RN credit will no longer be available.
  RD and DTR - 2.00 professional (CPE) hour(s). Level 1; 4130; 5190; 5310
 RN - 2.00 contact hour(s)

This course includes audio. The entire content of the course is available in a readable or printable format so you can view and receive credit for the course without listening to the audio. However if you intend to listen to the audio we recommend that you only purchase this course if you have broadband internet access and that you are able to install the audio player software.

Originally Authored: 03-30-2005
Last Updated: 12-12-2008

Price: $30.00

Additional Course Information

Course Objectives:
  1. Define pregestational and gestational diabetes.
  2. Differentiate between type 1, type 2 and gestational diabetes.
  3. State the pre-pregnancy A1C recommended value to reduce complications associated with pregnancy and diabetes.
  4. Identify at least 2 potential complications of pregnancy in women with diabetes.
  5. List at least 3 signs and symptoms of pre-term labor.
  6. Discuss briefly how chronic hypertension, which may be present pre pregnancy, increases the risk of preeclampsia, intrauterine growth restriction (IUGR) and placental abruption.
  7. Discuss briefly the potential for worsening of retinopathy when a woman with diabetes becomes pregnant.
  8. Identify at least 2 kidney preconception assessment tests recommended for all women with diabetes greater than 5 years.
  9. List at least 3 symptoms of preeclampsia.
  10. Discuss proteinuria level as a way to predict the risk of preeclampsia.
  11. Discuss the role of hyperglycemia and macrosomia.
  12. Discuss the prevention of polyhydramnios in the woman with diabetes.
  13. Discuss at least one cause of hypoglycemia in a newborn infant.
  14. List at least 2 fetal monitoring tests used to help determine health of fetus.
  15. Discuss concern for development for type 2 diabetes in the woman with gestational diabetes and her child.
Course Topics:
  1. Pregnancy in Diabetes
  2. Type 1 Vs Type 2 Diabetes
  3. Gestational Diabetes (GDM)
  4. Diabetes and Pregnancy Statistics
  5. Contraception – Diabetes
  6. Preconception Goals
  7. Pregestational Complications
  8. Areas of Assessment
  9. Maternal Complications
  10. Hypoglycemia 1st Trimester
  11. Hypoglycemia Treatment
  12. Rule of 15
  13. Risk of Infection
  14. Preventing Infection
  15. DKA/HHNS
  16. DKA/HHNS Treatment
  17. DKA/HHNS Prevention
  18. Sick Day Rules
  19. Preterm Labor (PTL)
  20. Stillbirth
  21. Cesarean Section
  22. Hypertension
  23. Hypertension Management
  24. Nephropathy
  25. Pre-eclampsia
  26. Retinopathy
  27. Neuropathy
  28. Coronary Artery Disease (CAD)
  29. Other Areas of Assessment
  30. Fetal Risks
  31. Maternal High Blood Glucose
  32. Macrosomia
  33. Macrosomia Prevention
  34. Intrauterine Growth Restriction
  35. Polyhydramnios
  36. Neonatal Hypoglycemia
  37. Other Concerns
  38. Future Risk for Child
  39. Fetal Monitoring Tests
  40. Additional Fetal Testing
  41. Test Related to Delivery
  42. Problems
  43. Case Study - Sara
  44. Questions Sara
  45. References
Course Handouts:
  1. Pregnancy and Diabetes - Caring for Myself and Baby
  2. Diabetes and Pregnancy: Important Planning Steps
  3. Diabetes Out of Balance - Pregnancy
  4. Sick Day Rules - Diabetes and Pregnancy
  5. Kick Count - Monitoring Baby's Movement
  6. Fetal Monitoring Tests
  7. Handout Answers

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