Abstract

From 1962 to 1966, pregnant patients at the Maimonides Medical Center suspected of having abnormal carbohydrate tolerance on clinical grounds were tested by the rapid intravenous glucose tolerance test. A group of nondiabetic subjects was similarly tested. Thirty-eight of these pregnant women had abnormal intravenous tolerance tests and were considered as Class A diabetics. These gravidas and 352 control subjects with normal test results were followed to the completion of their pregnancies. The results of gestation in terms of mean infant weights, incidence of heavy infants, congenital anomalies, and perinatal survival were studied in relation to the degree of clinical risk for diabetes, maternal obesity, and normal or abnormal intravenous glucose tolerance tests. The results suggest that the uncomplicated Class A diabetic patient seen during a pregnancy does not have a significantly di$erent perinatal mortality rate from that of the general population. While she needs special attention, she does not require early termination of pregnancy.

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