Outcomes of pregnancies affected by impaired glucose tolerance

Kwik, Michele; Seeho, Sean; Smith, Catherine A.; McElduff, Aidan; Morris, Jonathan M.

doi:10.1016/j.diabres.2006.12.004

Cited by 64 publications

(31 citation statements)

References 17 publications

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“…Kwik et al in their study compared the obstetric outcome in treated and untreated GDM. 29 They found that obstetric outcome is affected by glucose intolerance. In the untreated GDM group, there were more macrosomia, more number of caesarian sections or instrumental deliveries for dystocia and birth injuries.…”

Section: Gdmmentioning

confidence: 99%

Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Nair

Sandhu

Biswas

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Section: Gdmmentioning

confidence: 99%

Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Nair

Sandhu

Biswas

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…Birth weight represents the most important risk indicator for neonatal and infant mortality and morbidity [22]. An accurate EFW is valuable information for planning the mode of delivery and management of labor, especially in diabetic pregnancies with a higher incidence of fetal macrosomia, since fetal macrosomia is associated with shoulder dystocia, brachial plexus injury, clavicular fracture, maternal birth trauma and cesarean section [23][24][25]. Since EFW measurement at term is frequently performed and influences birth mode [21], we believe that knowledge about the accuracy of EFW and consequently reliability of this diagnostic tool in different clinical situations is important.…”

mentioning

confidence: 99%

Accuracy of Fetal Weight Estimation in Women with Diet Controlled Gestational Diabetes

Husslein

Worda

Leipold

et al. 2012

Geburtsh Frauenheilk

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!Purpose: To evaluate whether ultrasound accuracy of estimated fetal weight (EFW) differs in women with diet controlled gestational diabetes mellitus (GDM) compared to nondiabetic pregnant women. Material and Methods: We included 363 patients, 121 patients with diet controlled GDM and 242 patients with a normal oral glucose tolerance test (oGTT). Each case of diet controlled GDM was matched with 2 unaffected controls. All patients were screened/diagnosed for GDM by means of an oGTT. Both groups received ultrasound examination including fetal biometry, using Hadlockʼs Formula, within 7 days to delivery. After birth, gestational age, birthweight and Apgar scores were collected from each newborn. Results: There was a good correlation between EFW and birth weight (coefficient = 0.747, p < 0.001 by Pearson correlation, even after adjustment for glucose status). Regression analyses, including noGDM/GDM, maternal age, maternal body mass index, birth weight and time interval between ultrasound and delivery revealed that only fetal birth weight significantly influences weight difference between ultrasound EFW and actual birth weight at term. Conclusion: Our data suggests that ultrasound accuracy of EFW using Hadlockʼs Formula at term does not differ in women with diet controlled GDM compared to women with normal glucose tolerance.

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“…Birçok çalışma maternal hipergliseminin makrozomik bebek doğurma insidansını artırdığını göstermiştir (15)(16)(17)(18). Bizim çalışmamızda da literatürle uyumlu olarak grup 1'deki bebeklerin ortalama kilosu 3300 gr, grup 2' deki bebeklerin ise 3457 gr olarak saptanmış ve bu fark istatiksel olarak anlamlı bulunmuştur.…”

Section: Gereç Ve Yöntemunclassified

Derince Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği’ne Başvuran Gebelerde Gestasyonel Diyabet Sıklığı ve Perinatal Sonuçları

Yavuz¹,

Demirtaş²,

Terzi³

et al. 2015

Kocatepe Tıp Dergisi

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ÖZAmaç: Çalışmamızın amacı hastanemiz kadın hastalıkları ve doğum polikliniklerine rutin gebelik takibi için baş-vuran hastalarda gestasyonel diyabetes mellitus (GDM) sıklığını araştırmak ve bu olguların perinatal sonuçlarını analiz etmektir. Gereç ve Yöntem:Bu çalışmada Kocaeli Derince Eğitim ve Araştırma Hastanesine, Temmuz 2012-Mart 2013 yıl-ları arasında kadın hastalıkları ve doğum polikliniğine başvuran, rutin diyabet taraması uygulanmış 526 hastanın perinatal sonuçları retrospektif olarak incelenmiştir. Hastaların hepsine 50 gram glukoz tolerans testi (GTT) uygulanmış ve sonuçları anormal olanlarda 100 gram oral glukoz tolerans testi (100 gr OGTT) yapılmıştır. Hastalar ACOG kriterlerine göre GDM olmayan (Grup 1) ve GDM olan (Grup 2) iki gruba ayrılmış ve hastalar yaş, gravida, parite, abortus, doğum haftası, bebek kilosu, bebek boyu, 1. ve 5. dakika Apgar skorları açısından karşılaştırılmıştır. Bulgular: Çalışmaya dahil edilen 526 hastanın 46 (% 8,7) sında GDM saptanmıştır. 145 hastada (%27.5) ise 50 gr tarama testi yüksek bulunmuştur. İstatistiksel analizde yaş, abort sayısı ve bebek kiloları ve doğum şekillerinde farklılık saptanmıştır. Anne yaşı, abort sayıları, bebek kiloları ve sezaryen oranları grup 2 de daha yüksek bulunmuştur.Sonuç: Kliniğimize başvuran gebelerin GDM prevalansı %8,7 dir. Bizim çalışmamızda, anne yaşının GDM için önemli bir risk faktörü olduğunu, bebek doğum kilolarının ve sezaryen oranlarının diyabetik annelerde daha yüksek olduğunu tespit ettik.Anahtar Kelimeler: Gestasyonel diyabet, prevalans, perinatal sonuçlar. ABSTRACTObjective: The aim of this study was to determine gestational diabetes mellitus (GDM) frequency and perinatal results of these patients whom referred to our hospital's antepartum clinic for routine follow-up. Material and Methods:In this study perinatal results of 526 pregnant women who attended to our antepartum clinic for routine follow-up between July 2012 and March 2013 were analyzed retrospectively. A 50-g glucose challenge test (GCT) applied at 24-28 weeks' gestation. The patients who had a value of blood glucose ≥ 140 mg/ dl undergone 100-g oral glucose tolerance test (OGTT). Patients were divided in two groups according to ACOG GDM criteria. Group 1 was not GDM and group 2 was that diagnosed as GDM. These groups were compared according to maternal age, gravidity, parity, abortus ,gestational weeks at birth, rates of cesarean section, cesarean indications, birth weight, birth height and 1. and 5. minute Apgar scores. Results:Of the 526 pregnant women 46 patients di¬ag-nosed as GDM (8,7%). One hundred forty five patients had abnormal 50 gr GTT results (27,5%). Maternal age, abortus, birth weight and cesarean rates were found different in statistically analysis. These parameters were detected higher in group 2 patients. Conclusion:The prevalence of GDM in pregnant women who were admitted to our clinic was 8,7 %. In our study we found that maternal age was an important risc factor for GDM and birth weight, cesarean rates were higher in diabetic patients.

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Outcomes of pregnancies affected by impaired glucose tolerance

Cited by 64 publications

References 17 publications

Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Evaluation of the incidence and outcome of gestational diabetes mellitus using the current international consensus guidelines for diagnosing hyperglycaemia in pregnancy

Accuracy of Fetal Weight Estimation in Women with Diet Controlled Gestational Diabetes

Derince Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği’ne Başvuran Gebelerde Gestasyonel Diyabet Sıklığı ve Perinatal Sonuçları

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