CRITICAL APPRAISAL

Critical Appraisal of Pre Pregnancy Care with Diabetes Patient

Critical Appraisal of Pre Pregnancy Care with Diabetes Patient

Introduction

The disorder in the carbohydrate metabolism causes diabetes. The diabetes entails instant variations in the way of life of diabetes patient. Diabetes is related to long-standing vascular problems including nephropathy, retinopathy, vascular disease and neuropathy. According to the recent research, it has been estimated that about 650,000 of women give birth each year in Wales and England and almost out of 650000 women, there exist 2 to 5 percent of women who suffer from diabetes during pregnancy (NHS, 2008, Pp.4-6). The research has estimated that approximately there have been 87.5 percent of women who faced pregnancy complications through diabetes because of gestational diabetes. The occurrence of type-1 diabetes and type-2 diabetes is increasing. Specially, there has been increase of type-2 diabetes in many minority ethnic groups. The minority ethnic group who is suffering from diabetes includes people of black Caribbean, African, Chinese and Middle Eastern family origins and South Asian (NHS, 2008, pp.4-6).

Disease of diabetes in pregnancy is related to the risks for the developing fetus and also for the woman. Women who suffer from pre-existing diabetes confront with pre-eclampsia, preterm labor and miscarriage. Moreover, the diabetic retinopathy can become worst at the time of pregnancy. Congenital malformations, stillbirth, birth injury, macrosomia, postnatal adaptation and perinatal mortality problems such as hypoglycaemia are most widespread in babies who take birth from diabetic patient woman (NHS, 2008, pp.4-6).

Many guidelines and prevention programs have been proposed in the England to prevent diabetes before pregnancy in women as it creates adverse affects on the health and lifestyle of baby and the pregnant woman. Diabetes is needed to be managed and controlled before pregnancy in order to get rid of the complications that arise during the time of delivery for pregnant woman. Women must get proper treatment of their diabetes disease during postnatal, antenatal and intrapartum periods. Different and improved care is provided to the pregnant women and newborn babies regarding the diabetes (NHS, 2008, pp.4-6).

Pre-Pregnancy Diabetes Care

Major inherited malformations and defects are the foremost causes of serious morbidity and mortality in the women's infants with founded diabetes mellitus. During initial pregnancy, sub-optimal glycaemic control has been robustly associated with the enlarged possibility of birth malformations among these babies. At the instance of organogenesis, hyperglycaemia produces its teratogenic effects. These defects take place before the women gets to know about their pregnancy. In order to reduce or eliminate these irregularities, specialist diabetes care starts before the occurrence of pregnancy (Forde, 2006, pp.43-44). Whereas, other author argues that diabetes patients must get proper care during their prepregnancy because diabetes risks increase more for a pregnant women. Author claims that diabetes patient must get proper care first afterwards she must plan for their pregnancy (Campbell & Martin, 2009, 254).

According to the current research on figures and statistics, it has been found that by the year 2025 the occurrence and rate of diabetes is expected to exceed approximately ...