Q:

What postpartum care will be needed for this lady?

waelhammad
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2022-11-19
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A 32-year-old lady office secretary of Indian origin with history of polycystic ovarian syndrome has conceived by ovulation induction. Her dad has hypertension and her mother has diabetes for 12 years. On examination, she is 160 cm, weighs 76 kg, and physical examination shows acanthosis, hirsutism, her BP is 120/70 mm Hg. Other systemic examination is unremarkable. She is seen by another obstetrician at 10 weeks of gestation and is advised oral glucose tolerance.

What postpartum care will be needed for this lady?

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waelhammad
2022-11-19
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The diabetes-in-pregnancy team is also able to help the patient during the puerperal period with the challenges of lactation, diet, sleep, and glycemic control. This team is also most effective in providing a smooth return to nonpregnant metabolic management. Initial follow-up at 6 weeks to 6 months with oral glucose tolerance test is recommended. Following that, these patients should have lifelong screening for prediabetes or diabetes development every 3 years.

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