Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on infant mortality rates: a systematic review

Rudge, Marilza Vieira Cunha; Lima, Silvana Andréa Molina; Dib, Regina El; Marini, Gabriela; Magalhães, Cláudia Garcia; Calderon, Iracema de Mattos Paranhos

doi:10.1590/1516-3180.2013.1315560

Sao Paulo Med. J.

2013

DOI: 10.1590/1516-3180.2013.1315560

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Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on infant mortality rates: a systematic review

Marilza Vieira Cunha Rudge

Silvana Andréa Molina Lima

Regina El Dib

et al.

Abstract: CONTEXT AND OBJECTIVE: Pregnancies complicated by diabetes are associated with increased neonatal and maternal complications. The most serious maternal complication is the risk of developing type 2 diabetes, 10-12 years after the delivery. For rigorous control over blood glucose, pregnant women are treated through ambulatory management or hospitalization.

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Infection of reproductive tract during pregnancy is related to adverse perinatal outcome

Xu¹,

Du²,

Xie³

1969

Pak J Med Sci

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Objective:To determine whether education level and occupation are risk factors of vaginitis in pregnant women and to investigate relationship between vaginitis occurrence during pregnancy and perinatal mortality rates.Methods:A total of 319 women of early pregnancy or mid-pregnancy were enrolled. Six specimens were collected from posterior fornix of each pregnant woman and then cultured for identification of Neisseria gonorrhoeae, intestinal bacteria, general bacteria, fungi, mycoplasma, and chlamydia, respectively.Results:The pregnant women in the “elementary school or below” group and the “middle school” group had significantly higher incidences of vaginitis compared with the pregnant women in the groups of “high school”, “skill education”, and “college or above”. The pregnant women in the groups of “Worker”, “Government employee”, “Company employee”, and “Professionals” had significantly lower vaginitis incidences. The women with infections of Neisseria gonorrhoeae, intestinal bacteria, and general bacteria had higher perinatal mortalities (0.063 ± 0.011, 0.052 ± 0.012, and 0.017 ± 0.008, respectively) than women with infections of fungi, mycoplasma, and Chlamydia (0.002 ± 0.007, 0.003 ± 0.004, and 0.001 ± 0.001, respectively).Conclusions:Education level and occupation are risk factors related to incidences of vaginitis in pregnant women. The bacteria-related vaginitis is a major reason of perinatal mortality.

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Infection of reproductive tract during pregnancy is related to adverse perinatal outcome

Xu¹,

Du²,

Xie³

1969

Pak J Med Sci

View full text Add to dashboard Cite

show abstract

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Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on infant mortality rates: a systematic review

Cited by 1 publication

References 15 publications

Infection of reproductive tract during pregnancy is related to adverse perinatal outcome

Infection of reproductive tract during pregnancy is related to adverse perinatal outcome

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