Pregnancy Metabolism, Diabetes and the Fetus (eBook)

Katherine Elliott is the editor of Pregnancy Metabolism, Diabetes and the Fetus, published by Wiley. Maeve O'Connor is the editor of Pregnancy Metabolism, Diabetes and the Fetus, published by Wiley.

Pregnancy Metabolism, Diabetes and the Fetus 5
Contents 7
Introduction 11
Pregnancy as a tissue culture experience: the critical implications of maternal metabolism for fetal development 13
Discussion 33
The influence of hormonal changes of pregnancy on maternal metabolism 39
Discussion 56
Principal substrates of fetal metabolism: fuel and growth requirements of the ovine fetus 67
Discussion 78
General Discussion I 79
Evidence for fatty acid transfer across the human placenta 85
Discussion 96
Metabolism during normal and diabetic pregnancy and its effect on neonatal outcome 103
Discussion 131
General Discussion II 137
Hormonal regulation of perinatal enzyme differentiation in the mammalian liver 147
Discussion 163
Regulation of placental enzymes of the carbohydrate and lipid metabolic pathways 171
Discussion 184
Culture in vitro as a means of analysing the effects of maternal diabetes on embryonic development in rats 191
Discussion 184
General Discussion III 209
Congenital anomalies and the diabetic and prediabetic pregnancy 217
Discussion 228
The outcome of diabetic pregnancies: a prospective study 237
Discussion 248
The influence of preconceptional glucose values on the outcome of pregnancy 265
Congenital malformations: the possible role of diabetes care outside pregnancy 275
Discussion of the two preceding papers 283
Clinical perspectives in the care of the pregnant diabetic patient 293
Final General Discussion : 311
Haemoglobin A 1c 311
Nutrition and metabolism 315
Blood sugar levels in pregnancy 321
Index to contributors 327
Subject index 329