Recomendações da 2ª. Reunião do Grupo de Trabalho em Diabetes e Gravidez

Reichelt, A.; Oppermann, Maria Lúcia Rocha; Schmidt, María Inês

doi:10.1590/s0004-27302002000500012

Cited by 24 publications

(26 citation statements)

References 17 publications

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“…10,11 It is not possible to detail the criteria used to diagnose diabetes in this study, as the data were obtained from hospital admission forms from diverse hospitals, with codes for birth and associated morbidities. It is probable that some cases of pre-diabetes, which would now be classifi es as DM by the criteria currently in rigor, 17,19 were not categorized as such. Thus, the frequency of DM in hospital deliveries in Ribeirao Preto may be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Diabetes nos partos hospitalares em sistemas de saúde público e privado

et al. 2013

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OBJETIVE:To analyze trends of diagnoses of diabetes mellitus in hospital deliveries. METHODS:Transversal study analyzing data on hospital deliveries for pregnant women living in Ribeirao Preto, SP, from 1998 to 2007. The data on diabetes mellitus in pregnancy were obtained from the Faculdade de Medicina de Ribeirao Preto of the Universidade de São Paulo Hospital Data Processing Center. The data analyzed were: age group, type of delivery (vaginal or cesarean), length of hospitalization and type of care: public (SUS) or private (private and supplemented health care). RESULTS:There was a 3.9 fold increase in the proportion of deliveries with a record of diabetes in relation to the total number of births (p = 0.01). This increase was of 4.5 times in deliveries in the public health care system (p = 0.01) and 3 times in private care. An increase in the presence of diabetes was observed in all age groups, proportionally larger in lower age groups. The frequency of cesarean delivery in pregnancies which recorded diabetes fell from 64.5% in 1998/1999 to 39.8% in 2006/2007 in the public system; in the private system the frequency remained over 90%. CONCLUSIONS:The presence of diabetes mellitus in hospital deliveries increased throughout the two year periods, despite a fall in the overall number of deliveries and an increase in the number of women of childbearing age living in Ribeirao Preto. This trend means that not only diagnosis and treatment, but also pre-pregnancy interventions which may reverse it are called for.

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Section: Discussionmentioning

confidence: 99%

Diabetes nos partos hospitalares em sistemas de saúde público e privado

et al. 2013

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“…acceptance after a 1997 consensus meeting 3 at which GDM was defined using the intermediate hyperglycemic cutoffs…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics of women with gestational diabetes - comparison of two cohorts enrolled 20 years apart in southern Brazil

et al. 2017

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CONTEXT AND OBJECTIVE: The prevalence and characteristics of gestational diabetes mellitus (GDM) have changed over time, reflecting the nutritional transition and changes in diagnostic criteria. We aimed to evaluate characteristics of women with GDM over a 20-year interval. DESIGN AND SETTING: Comparison of two pregnancy cohorts enrolled in different periods, in university hospitals in Porto Alegre, Brazil: 1991 to 1993 and 2009 to 2013 (n = 375). METHODS:We applied two diagnostic criteria to the cohorts: International Association of Diabetes and Pregnancy Study Groups (IADPSG)/World Health Organization (WHO); and National Institute for Health and Care Excellence (NICE). We compared maternal-fetal characteristics and outcomes between the cohorts and within each cohort. RESULTS:The women in the 2010s cohort were older (31 ± 7 versus 30 ± 6 years), more frequently obese (29.4% versus 15.2%), with more hypertensive disorders (14.1% versus 5.6%) and at increased risk of cesarean section (adjusted relative risk 1.8; 95% confidence interval: 1.4 -2.3), compared with those in the 1990s cohort. Neonatal outcomes such as birth weight category and hypoglycemia were similar. In the 1990s cohort, women only fulfilling IADPSG/WHO or only fulfilling NICE criteria had similar characteristics and outcomes; in the 2010s cohort, women only diagnosed through IADPSG/WHO were more frequently obese than those diagnosed only through NICE (33 ± 8 kg/m 2 versus 28 ± 6 kg/m 2 ; P < 0.001). CONCLUSION: The epidemic of obesity seems to have modified the profile of women with GDM. Despite similar neonatal outcomes, there were differences in the intensity of treatment over time. The IADPSG/ WHO criteria seemed to identify a profile more associated with obesity. RESUMO

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“…Others advise universal screening 7 . In Brazil, the Ministry of Health and the Work Group in Diabetes and Pregnancy (Grupo de Trabalho em Diabetes e Gravidez -GTDG) recommend that all pregnant women should be screened for gestational diabetes mellitus (through fasting glucose in the 20 th week of gestation) and, in the presence of risk factors and regardless of the first result, that screening should be repeated in the third trimester 7,8 .…”

Section: Introductionmentioning

confidence: 99%