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33 This article updates previous articles on this topic by Langan and Zawistoski, 4 and by Oh and Brown

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Clinical Considerations Disease-Associated Maternal and/or Embryo/Fetal Risk Poorly controlled diabetes in pregnancy increases the maternal risk for diabetic ketoacidosis, pre-eclampsia, spontaneous abortions, preterm delivery, and delivery complications

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Contact your GP if heartburn or reflux symptoms persist for three weeks or more, or if you develop dysphagia, persistent vomiting, or unexplained weight loss