Gestational diabetes mellitus diagnosed in different periods of gestation and neonatal outcome Gebelik diyabeti ve yenidoana etkisi
Year: 2009
Type: article
Study design: Observational Study
Abstract: Objective: To evaluate the maternal and neonatal out-comes in women diagnosed as gestational diabetes mel-litus (GDM) in different periods of pregnancy.Materials and Methods: This descriptive observational study was carried out from 1st January 2007 to 31th De-cember 2007 in the department of Obstetrics and Gyne-cology of a 1300 bedded tertiary care hospital "Bahawal Victoria Hospital" in Bahawalpur, Pakistan. Seventy six pregnant women met the inclusion criteria of diabetes diagnosed on the basis of the Oral glucose tolerance test (OGTT) according to the National Diabetic Data Group. The study subjects were divided on the basis of gestational age at the first time diagnosis of GDM in the current pregnancy into group A (gestational age 13-23 weeks), group B (24-30 weeks) and group C (31-36 weeks).Results: Out of total study subjects, 19 (25%) were di-agnosed as GDM between 13-23 weeks of gestation (early-onset), 25 (32.9%) between 24-30 weeks while 32 (42.1%) diagnosed in the gestational age of 31-35 weeks (late-onset). Pregnancy-induced hypertension 5 (26.3%), polyhydramnios 5 (26.3%) and insulin treat-ment 13 (68.4%) were higher in women with earlier GDM diagnosis (p<0.05). APGAR score at 5-min below seven was seen in 3 (15.8%), large for gestational age in 5 (26.3%), respiratory distress in 6 (31.5%) and pre-term delivery in 5 (26.3%) of the early GDM group. These complications were seen more frequently in the early group compared with late-onset GDM group (p<0.05). Conclusion: Earlier diagnosis of GDM was seem to be associated with less favorable newborn outcome.
Source: DergiPark (Istanbul University)
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2184267361