Abstract

Thromboembolic disease, including pulmonary embolism (PE) is the leading cause of direct maternal mortality in the UK (UKOSS, [1]). In women with diabetes, there is usually an increase in resistance to insulin within the placenta and taking corticosteroids often causes an increase in insulin requirements. A sudden reduction at term is an indication of a failing placenta and increases the risk of sudden stillbirth, requiring an expedited delivery.

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