Hipoglicémia na Gravidez

• Author(s): Conde, P ; Vicente, L ; Aleixo, F ; Rocha, T ; Borges, A
• Date: 2009
• Persistent ID: http://hdl.handle.net/10400.17/1331
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): Hipoglicémia; Gravidez; Diabetes Mellitus
• Document Type: Article
• Language: Portuguese

Description

Hypoglycemia is considered when glycemia values fall below 60 mg/dl and is associated with increased maternal-fetal morbidity and mortality. In a diabetic pregnancy this complication can result from a decrease in caloric ingestion relative to administered insulin. Hypoglycemia can present as a simple adrenergic response or as a neuroglicopenic response that can lead to maternal death and stillbirth. This is the reason why it can rapidly evolve into an obstetric emergency. It is important to possess a pre-defined protocol to guide healthcare professionals regarding the rapid management of this situation. The authors review the scientific literature on the subject of hypoglycemia in pregnancy and propose a protocol to be applied in this situation.