Neonatal outcomes according to different therapies for gestational diabetes mellitus

Silva, Amanda L. da; Amaral, Augusto Radünz do; Oliveira, Daniela Sousa; Martins, Lisiane; Silva, Mariana R. e; Silva, Jean Carl

doi:10.1016/j.jped.2016.04.004

Cited by 27 publications

(31 citation statements)

References 22 publications

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“…In a retrospective cohort study 30 (n ¼ 705 women with GD) performed in the city of Joinville, Southern Brazil, in which all women underwent some kind of treatment, 10.22% (n ¼ 72) of the treated pregnant women developed hypertensive pregnancy disease, and 4.8% (n ¼ 34) of the infants were premature. 28,30,31 Also in the aforementioned study, 30 observing the type of treatment performed and the factors related to the occurrence of GD or the outcomes, insulin use was related to a lower probability of preterm delivery 7.1% (n ¼ 50), and the type of treatment performed did not interfere with the delivery route, reflecting the same finding observed in the present study, except that the study in question found a higher rate of cesarean sections among parturients taking insulin. Watanabe et al 31 also found a higher rate of cesarean sections among women treated with insulin; in addition, 40% (n ¼ 4) of them were overweight, and 10% (n ¼ 1) had a BMI 30 kg/m 2 before pregnancy, which was not significant.…”

Section: Discussionsupporting

confidence: 82%

“…Watanabe et al 31 also found a higher rate of cesarean sections among women treated with insulin; in addition, 40% (n ¼ 4) of them were overweight, and 10% (n ¼ 1) had a BMI 30 kg/m 2 before pregnancy, which was not significant. 31,32 Regarding the maternal age and insulin use, no significant differences were found either. Differently, a retrospective study 32 (n ¼ 612 GD cases) showed that the mean age of the women who used insulin was 31.4 years versus 30.9 years for those who did not use it.…”

Section: Discussionmentioning

confidence: 80%

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Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

Freitas

Hintz

Orth

et al. 2019

Rev Bras Ginecol Obstet

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Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditional multivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical significance level of 5%. Results The cases (n = 47) were more likely to be 35 years old or older compared with the controls (n = 93) (p < 0.001). The cases had 2.56 times greater chance of being overweight (p = 0.014), and a 2.57 times greater chance of having a positive family history of diabetes mellitus (p = 0.01). There was no significant difference regarding weight gain, presence of a previous history of gestational diabetes, height, or delivery route. The mean weight at birth was significantly higher in the infants of mothers diagnosed with diabetes (p = 0.01). There was a 4.7 times greater chance of macrosomia (p < 0.001) and a 5.4 times greater chance of neonatal hypoglycemia (p = 0.01) in the infants of mothers with gestational diabetes. Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 80%

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

Freitas

Hintz

Orth

et al. 2019

Rev Bras Ginecol Obstet

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“…However, a study conducted in Fortaleza, Brazil, on which professionals provided information about the disease during prenatal care found that 58.8% of the respondents answered that they had received no information about the disease. Only 17.6% stated that they had received the information from nurses; 17.6% from physician; and 6.0% from pharmacy professionals (6) .…”

Section: Discussionmentioning

confidence: 99%

“…Diabetes mellitus increases the rate of fetal malformations and alters the growth of the unborn child. The incidence of congenital malformations varies from 5.0 to 10.0%, two to three-fold higher than that observed in the general population, and also accounting for about 40.0% of perinatal deaths (6) . Although there is a notable scientific interest in establishing the precise triggering etiologic factors of this clinical condition, few researchers have quantified the risks of major neonatal complications in pregnant women diagnosed with this disease (7) .…”

Section: Introductionmentioning

confidence: 85%

Instrument for nursing consultation to pregnant women with diabetes mellitus

Filgueiras¹,

Silva²,

Pimenta³

et al. 2019

Rev Rene

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Objective: to construct and validate an instrument to assist the nursing consultation of pregnant women with diabetes mellitus. Methods: methodological study involving the construction of an instrument and evaluation by expert judges in the area who delivered opinions on the objectives, structure, presentation, relevance and content of the instrument of each item. Results: the instrument obtained a satisfactory evaluation in the evaluated criteria, obtaining an index of validity of general content above 85.0% and index of content validity above 80.0% in most of the items. Five items were modified according to the recommendations provided by the judges. Conclusion: the content of the instrument was considered valid to guide the nursing consultation, favoring the promotion of quality of life, adoption of healthy life habits and self-care practices, and provides glimpses of emotional, psychological and social aspects that may influence the endocrine modifications during gestation.

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“…O Índice de Apgar é obtido pela observação de cinco sinais clínicos objetivos: frequên-cia cardíaca, tônus muscular, irritabilidade reflexa, coloração da pele e respiração que podem receber 0, 1 ou 2 pontos cada. A pontuação total varia de 0 a 10 pontos 11 . Os índices atribuídos foram registrados no banco eletrônico e posteriormente foram criadas duas variáveis agrupando-os em duas categorias-menor do que 8 e maior ou igual a 8 -para cada um dos dois momentos de avaliação.…”

Section: Métodounclassified

Tecnologias não-invasivas de cuidado de enfermagem obstétrica: repercussões sobre a vitalidade do recém-nascido [Non-invasive technologies in obstetric nursing care: effects on newborn vitality]

et al. 2017

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RESUMOObjetivo: comparar a associação entre os índices de Apgar dos neonatos cujas mães fizeram uso apenas de tecnologias não-invasivas de cuidado de enfermagem obstétrica durante o trabalho de parto com os daqueles cujas mães receberam a assistência tradicional. Método: estudo transversal, retrospectivo de 6.790 registros de partos acompanhados por enfermeiras obstétricas, entre setembro/2004 e dezembro/2011. Utilizou-se a regressão logística para avaliar a chance da exposição às tecnologias não-invasivas contribuir para melhores índices de Apgar quando comparada aos outros tipos de assistência. Resultados: neonatos cujas mães utilizaram alguma dessas tecnologias não-invasivas apresentaram percentuais mais elevados de índice de Apgar >8, tanto no 1° (93,41%) como no 5° minuto de vida (99,01%), em relação àqueles cujas mães submeteram-se a procedimentos relacionados à assistência tradicional (82,78% e 94,74% respectivamente). Conclusão: a razão de chance de índice de Apgar >8 é aumentada a favor daquelass que utilizaram apenas tecnologias não-invasivas de cuidado de enfermagem obstétrica. Palavras-chave: Enfermagem obstétrica; parto humanizado; recém-nascido; índice de Apgar.ABSTRACT Objective: to compare the association between Apgar scores of neonates whose mothers used only non-invasive obstetric nursing care technologies during labor and those whose mothers received traditional care. Method: in this retrospective, cross-sectional study of 6,790 records of childbirth attended by obstetric nurses between September 2004 and December 2011, logistic regression was used to assess the likelihood that exposure to these non-invasive technologies contributed to better Apgar scores as compared with other types of care. Results: neonates whose mothers used any of these non-invasive technologies returned higher percentage Apgar scores, in both the 1st (93.41%) and 5th minute of life (99.01%), as compared with those whose mothers underwent traditional care procedures (82.78% and 94.74%, respectively). Conclusion: the Apgar score odds ratio of > 8 is increased in favor of those who used only non-invasive obstetric nursing care technologies. Keywords: Obstetrical nursing; humanized childbirth; new-born; Apgar score. RESUMENObjetivo: comparar la asociación entre los índices de Apgar de neonatos cuyas madres utilizaron solo tecnologías no invasivas de cuidado de enfermería obstétrica durante el trabajo de parto con aquellos cuyas madres recibieron atención tradicional. Método: estudio transversal retrospectivo de 6.790 registros de partos atendidos por enfermeras obstétricas, entre septiembre/2004 y diciembre/2011. Se utilizó la regresión logística para evaluar la posibilidad de que la exposición a las tecnologías no invasivas contribuya a mejores índices de Apgar en comparación con otros tipos de asistencia. Resultados: los neonatos cuyas madres utilizaron alguna de estas tecnologías no invasivas presentaron porcentajes más altos de índice de Apgar >8, tanto en el primer (93.41%) como en el quinto minuto de vida (99.01%), en...

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Neonatal outcomes according to different therapies for gestational diabetes mellitus

Abstract: The pediatrician in the delivery room can expect different outcomes for diabetic mothers based on the treatment received.

Cited by 27 publications

References 22 publications

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

Comparison of Maternal and Fetal Outcomes in Parturients With and Without a Diagnosis of Gestational Diabetes

Instrument for nursing consultation to pregnant women with diabetes mellitus

Tecnologias não-invasivas de cuidado de enfermagem obstétrica: repercussões sobre a vitalidade do recém-nascido [Non-invasive technologies in obstetric nursing care: effects on newborn vitality]

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