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Gestational Outcomes Related to the Occurrence of Gestational Diabetes Mellitus: A Cohort Study.
Souza Stork, Samara; Meurer Souza, Claudia; Somariva Prophiro, Josiane; Brownell, Elizabeth Ann; Pinto Moehlecke Iser, Betine.
Afiliação
  • Souza Stork S; Postgraduate Program in Health Sciences, University of Southern Santa Catarina, Tubarão 88704-900, Brazil.
  • Meurer Souza C; Postgraduate Program in Health Sciences, University of Southern Santa Catarina, Tubarão 88704-900, Brazil.
  • Somariva Prophiro J; Postgraduate Program in Health Sciences, University of Southern Santa Catarina, Tubarão 88704-900, Brazil.
  • Brownell EA; School of Nursing, University of Texas Health, San Antonio, TX 78229, USA.
  • Pinto Moehlecke Iser B; Postgraduate Program in Health Sciences, University of Southern Santa Catarina, Tubarão 88704-900, Brazil.
Healthcare (Basel) ; 12(19)2024 Sep 24.
Article em En | MEDLINE | ID: mdl-39408085
ABSTRACT

BACKGROUND:

Gestational diabetes mellitus (GDM) is the main cause of hyperglycemia in pregnancy and is related to complications throughout the gestational and post-partum period.

OBJECTIVES:

To analyze the pregnancy outcomes related to the occurrence of GDM in women and their offspring.

METHODS:

Third-trimester pregnant women were interviewed and monitored until childbirth. The diagnosis of GDM, blood glucose ≥ 92 mg/dL, was defined by the criteria of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG).

RESULTS:

A total of 138 women participated, and there were 136 births (due to 2 fetal losses); 23 (16.7%) were diagnosed with GDM. The risk of complications during childbirth was higher among pregnant women with GDM (RR 3.40; 95%CI 1.65-7.00), as was the occurrence of cesarean birth (RR 1.9; 95%CI 1.46-2.59). The occurrence of preterm birth did not show a significant difference between GDM/non-GDM groups. There was a non-significant association in adjusted analyses of macrosomia (birth weight ≥ 4000 g) among newborns born to mothers with GDM (RR 1.27; 95%CI 0.67-2.38). For newborns born to pregnant women with GDM, there was a higher risk for the following

outcomes:

large for gestational age (LGA) (3.29 95%CI 1.62-6.64), low Apgar (4.98 95%CI 2.32-10.69), and birth asphyxia (9.51 95%CI 3.42-26.48).

CONCLUSIONS:

The findings reinforce that GDM is an important risk factor for adverse pregnancy outcomes for women and their offspring.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Healthcare (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Healthcare (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça