What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?

Julia Fashner, Lucy Loomis, Jay Lee, Elizabeth Tweed

Journal: The Journal of family practice 2006;55(3):238-40

PMID: 16510059

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Abstract

No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled (ie, fasting blood sugar <105 mg/dL) class A1 gestational diabetes (strength of recommendation [SOR]: B, consistent retrospective cohort studies). However, a number of guidelines recommend beginning surveillance of some kind between 32 and 40 weeks based on cumulative risk factors, including gestational diabetes (SOR: C, expert opinion).

Address: University of Colorado at Denver Health Sciences Center, Denver, CO, USA.

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MeSH Terms: Diabetes, Gestational, Female, Fetal Distress, Fetal Monitoring, Humans, Pregnancy, Pregnancy Trimester, Third, Prenatal Care