Academic Journal
Gestational Outcomes Related to the Occurrence of Gestational Diabetes Mellitus: A Cohort Study
| العنوان: | Gestational Outcomes Related to the Occurrence of Gestational Diabetes Mellitus: A Cohort Study |
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| المؤلفون: | Samara Souza Stork, Claudia Meurer Souza, Josiane Somariva Prophiro, Elizabeth Ann Brownell, Betine Pinto Moehlecke Iser |
| المصدر: | Healthcare, Vol 12, Iss 19, p 1905 (2024) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | pregnancy, hyperglycemia, gestational diabetes mellitus, gestational complications, Medicine |
| الوصف: | 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | https://www.mdpi.com/2227-9032/12/19/1905; https://doaj.org/toc/2227-9032; https://doaj.org/article/0df544ce297c45f384a76e31d2ca109d |
| DOI: | 10.3390/healthcare12191905 |
| الاتاحة: | https://doi.org/10.3390/healthcare12191905 https://doaj.org/article/0df544ce297c45f384a76e31d2ca109d |
| رقم الانضمام: | edsbas.DD7508E0 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/healthcare12191905 |
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