Babies of women with diabetes are nearly five times more likely to be stillborn; are almost three times more likely to die in the first three months; and twice as many are born with major congenital malformations.

The incidence is high - somewhere between 3 and 7 per cent of all pregnant women in the USA have diabetes - and rising; the condition is often complicated by other risk-factors such as obesity and heart disease.

This major book gives a comprehensive review of the epidemiology, science and clinical management of gestation diabetes.

Fully updated and revised, it contains new chapters on:

• fetal growth in normal and diabetic pregnancies
• genetics
• congenital anomalies
• exercise
• pharmacological management
• insulin pump therapy
• hypoglycemia
• the role of ultrasound for timing of delivery
• thyroid and pregnancy
• fetal origins of adult disease
• metabolic syndrome and diabetes following gestational diabetes mellitus
• psychological and social aspects

The book provides a comprehensive, authoritative, international view of these difficult pregnancies and will be invaluable to maternal-fetal medicine specialists, diabetologists, neonatologists, and basic scientists working in the field.