Dr. Priscilla White1 has, through the years, evolved a routine for the management of the pregnant diabetic woman that has been most successful in her hands. With this system she has handled the largest number of diabetic pregnancies and, though many occurred in women with diabetes of long duration, often with signs of vascular disease, there has been an excellent fetal survival rate. In spite of the excellence of her results, some practitioners have recorded disagreement with some of the measures used in handling the diabetic pregnancies. Given and co-workers2 do not advocate strict chemical control of the diabetes, some3 do not believe in premature delivery by cesarean section, while others4 disagree with the need for sex hormone replacement therapy. Late in 1951 it was decided that an attempt should be made to evaluate White's routine to determine, where possible, those features likely to contribute to
Stephens JW, Holcomb B, Page OC. PREGNANCY AND DIABETESRESULTS OF MANAGEMENT WITHOUT FEMALE SEX HORMONE REPLACEMENT THERAPY. JAMA. 1956;161(3):224–226. doi:10.1001/jama.1956.62970030007009b
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