本文将上海第一医学院妇产科医院1953～1979年41例次糖尿病合并妊娠作临床分析,患病率为0.036%,围产儿死亡率高达26.8%。若产前早期作出诊断与相应产科处理,对降低围产儿死亡率有帮助。凡遇到:①有血统联系的家属有糖尿病史;②过去妊娠有糖尿病、羊水过多、巨大儿、不明原因死胎、死产;③孕妇超过标准体重20%;④此次妊娠尿糖阳性 In this paper, the First Affiliated Hospital of Shanghai Obstetrics and Gynecology Hospital from 1953 to 1979, 41 cases of diabetes combined with pregnancy for clinical analysis, the prevalence was 0.036%, perinatal mortality rate as high as 26.8%. If the diagnosis of the early prenatal diagnosis and the corresponding obstetric treatment, to reduce perinatal mortality help. Where met: ① family history of blood relationship with diabetes history; ② the past pregnancy with diabetes, polyhydramnios, huge children, unexplained stillbirth, stillbirth; ③ pregnant women over the standard weight of 20%; ④ pregnancy positive urine sugar