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  • female
  • 30 Years
  • 10/05/2022

Adverse Pregnancy Outcomes In Women With Diabetes?

Doctor 1

Answered by 1 Apollo Doctors

Babies of GDM mothers may have more birth weight, preterm birth and respiratory distress, low blood sugar shortly after birth and hypoglycemic seizures, still birth and obesity/ diabetes later in their life.

Dr. Ranjith Suggests...

Consult a Obstetrician and Gynaecologist

Answered 04/07/2025

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  1. Maternal Risks

    • Diabetes can increase the risk of high blood pressure (preeclampsia), infections, and complications during delivery.
  2. Fetal and Neonatal Risks

    • Risks include congenital anomalies, macrosomia (large baby), and neonatal hypoglycemia.
  3. Pregnancy Complications

    • There is a higher risk of miscarriage, stillbirth, and preterm birth associated with diabetes.
  4. Importance of Blood Sugar Control

    • Good glucose management before and during pregnancy can significantly reduce these risks.
  5. Monitoring and Care

    • Specialized prenatal care is essential, including regular monitoring and possible involvement of endocrinologists and obstetricians experienced in high-risk pregnancies.

Recommended next steps

Consult a Obstetrician and Gynaecologist or Consult a Endocrinologist

Answered 20/08/2025

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I'm noticing this thin white layer around my vagina that sometimes curdles up into a creamy texture. It's been itchy at certain times during the day, specifically on one of the labia minora where it looks like there's some extra skin development with tiny eruptions, and there's white stuff inside. There's no burning sensation, bad smell, or discharge though. It's been like this for 3 days with no changes. What could this be? Should I be worried?

Your symptoms, including a thin white layer around the vagina, curdling into a creamy texture, itching on the labia minora, and tiny eruptions with white contents, suggest a vaginal yeast infection (candidiasis), but the absence of a foul odor and discharge makes it less clear-cut; consult a gynecologist for a definitive diagnosis and treatment, as other conditions like vulvar dermatitis could also be possible causes.

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I'm about four months pregnant and my gynaecologist started me on cutenox injections back in my second month. Lately, I'm noticing that my thigh muscles are getting hard from the injections and it takes a while for the spots to heal. One time, after an injection, I started bleeding and it took hours to stop, even though my platelets are fine. My doctor wants me to continue these injections for the whole nine months. Is this safe for such a long period? And if I decide to stop them, could it harm my baby? I'm worried and would love some clarity.

The prolonged use of Cutenox injections, containing low molecular weight heparin, for 9 months may increase the risk of osteoporosis, bleeding complications, and thrombocytopenia, and although generally considered safe during pregnancy, the frequent bleeding episodes and muscle hardening you're experiencing warrant a reevaluation of your treatment plan with your gynaecologist to weigh the benefits and risks and consider alternative options, as abruptly stopping the injections may not harm the baby, but a gradual transition or adjustment under medical guidance is recommended.

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