Management
Three factors that usually are considered
1) Fetal age and thus maturity
2) Labor
3) Bleeding and its severity
? Preterm + no persistent active bleeding
→ Close observation
? Near term + not bleeding
→ Scheduled cesarean delivery
※ Timing is important to maximize fetal growth but to minimize the possibility of antepartum hemorrhage.
※ Data are sparse rega
control the ketogenesis
The same reaction that inhibits fatty acid synthesis promotes fatty acid oxidation and consequently ketogenesis.
Long-chain fatty acid molecules that reach the liver can be either oxidized or esterified and exported to adipose tissue as the triglyceride.
To be esterified, fatty acids must remain in the cytosol, and to be oxidized they must enter the mitochondria.
Recommended carbohydrate intake
RDA = 130 grams per day
AMDR = 45–65% of calories
Daily Value (for 2,000 kcal) = 300 grams
Dietary Guidelines
Choose/prepare foods with little added sugar
Choose fiber-rich fruits, vegetables, whole grains often
Moderating sugar intake
Use less added sugar
Limit soft drinks, sugary cereals, candy
Choose fresh fruits or those canned in water or juice