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Gynaecology & Obstetrics Gestational Diabetes Mellitus e0afc4da

Which amongst the following statements is true?

A
Glyburide is absolutely contraindicated for GDM
B
Patients with GDM/DM should be delivered between 34 and 36 weeks of gestation, as there is a risk of sudden IUFD at full term.
C
PTH crosses placenta
D
Phosphatidyl glycerol in amniotic fluid is 100% confirmatory of lung maturity
High-Yield Explanation
Unlike other oral hypoglycemic agents, glyburide and metformin both are being increasingly used for GDM (not for ove DM) and are found to be safe. Patients with GDM/DM should be delivered between 38 and 39 weeks of gestation, as there is a risk of sudden IUFD at full term. Hormones which do not cross the placenta are 1. Insulin, 2. PTH, and 3. Calcitonin. Lung maturity is delayed in DM/GDM. - L/S >2:1 is not reliable. - Phosphatidyl glycerol in amniotic fluid is 100% confirmatory of lung maturity in these cases.

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