Standardization of gestational diabetes diagnosis and treatment of the impact on pregnancy outcome
10.3760/cma.j.issn.1008-6315.2015.07.024
- VernacularTitle:妊娠期糖尿病规范化干预对妊娠与围生儿结局的影响
- Author:
Aihong SHEN
;
Guijun SUN
;
Yonghong YANG
;
Lei ZHAO
;
Qiuhua FENG
;
Jingcun SU
- Publication Type:Journal Article
- Keywords:
Gestational diabetes mellitus;
Standardization of diagnosis and treatment;
Pregnancy outcomes
- From:
Clinical Medicine of China
2015;31(7):650-653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of standardized treatment to pregnancy and perinatal outcome of children gestational diabetes (GDM).Methods Forty-five cases of GDM glycemic control satisfied patients and 36 cases of GDM glycemic control dissatisfied patients were enrolled in this study who in the General Hospital of Jizhong Energy Feng Feng Group hospital from January 2010 to October 2012,and 50 cases of the same period of hospitalization single fetal blood sugar normal pregnant women were randomly selected as control group.Pregnancy outcome and perinatal outcome of three groups were analyzed and compared.Results (1) Pregnancy outcome of three groups:the incidence of concurrent gestational hypertension (27.8％),polyhydramnios(22.2％),premature delivery (16.7％),cesarean section rate (80.5％) and puerperalism (13.9％) in GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients (8.9％,6.7％,2.2％,55.6％,2.2％) and control group (6.0％,4.0％,2.0％,46.0％,2.0％),and the differences were statistically significant (P＜ 0.05).(2) Perinatal outcome of three groups:the incidence of huge child (27.8％),neonatal hypoglycemia (41.7％),neonatal asphyxia rate (22.2％) of GDM glycemic control dissatisfied patients were higher than those of GDM glycemic control satisfied patients (4.4％,17.8％,6.7％) and control group (6.0％,2.0％,4.0％),and the differences were statistically significant (P＜0.05).Conclusion Gestational diabetes increases the incidence of infant and maternal complications,early diagnosis,standardized diagnosis and treatment can reduce infant and maternal complications,improve pregnancy outcomes.
