Medicine Essay
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| [...] When diabetes is well controlled its effects on pregnancy may be minimal. If the control is inadequate there may be complications. Maternal haemoglobin (Hb) can become irreversibly bound to glucose; this is termed glycosylated Hb and it constitutes 4-8% of the woman's total Hb, increasing during hyperglycaemia (Saunders et al 1080).The woman's fertility rate is reduced, and if she should become pregnant there is an increased risk of spontaneous abortion, stillbirth and foetal abnormality. The perinatal mortality rate among infants of diabetic mothers is significantly increased compared with that of non diabetic mothers. (Bradley 1990). Diabetic women are more susceptible to urinary tract infection and they are have a greater vulnerability to Candida albicans. The incidence of pre-eclampsia and of polyhydramnios is also increased (Benson 1983)... [...] |
| [...] The general feeling among the population was the belief in the Miasma theory, that a cloud of disease surrounded the sick. The cloud was considered highly infectious and the best way of dealing with it was to confine the sick to there homes. Most assumed the cloud was still present after dead and would avoid visiting graveyards in fear of catching a disease. It was not until 1864, when Louis Pasteur discovered microbes, that disease could be identified, but the cures were still a long way off. Edward Jenner was given an award for his work on small pox. [...] |
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