Pregnancy outcomes of women with hypoglycemia in the oral glucose tolerance test

Bayraktar, Burak; Balıkoğlu, Meriç; Kanmaz, Ahkam Göksel

doi:10.1016/j.jogoh.2020.101703

Cited by 14 publications

(19 citation statements)

References 14 publications

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“…Table I shows the characteristics, along with maternal and perinatal outcomes of the participants. The age of Turkish mothers under 19 years and immigrant mothers were found to be 18 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) years and 17 (10-19) years, respectively. In the Syrian refugee adolescent pregnant women, the maternal age was younger (p<0.001).…”

Section: Resultsmentioning

confidence: 95%

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Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Gölbaşı

Vural

Bayraktar

et al. 2021

Gynecol Obstet Reprod Med

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OBJECTIVE: In this study, we aim to compare the maternal and obstetric outcomes between local adolescent Turkish citizens and adolescent Syrian refugees admitted to a tertiary care center in Turkey. STUDY DESIGN: Between January 2014 and December 2019, a total of 57,049 births were performed in our hospital. The study included a total of 6,021 patients aged 19 years or younger pregnancy who gave birth at our hospital. Of this number, 5,164 (1,792 Syrian adolescent refugee cases and 3,372 local adolescent Turkish cases) were live singleton pregnancies. Our primary aim was to compare the maternal and obstetric outcomes between the two groups. RESULTS: In the pregnant refugee women, the maternal age was younger (p<0.001). Hemoglobin and hematocrit levels are significantly lower in Syrian pregnant women (p<0.001 and p<0.001, respectively). Anemia was significantly higher in Syrian refugee pregnant women (p<0.001). The double screening test and triple screening test were significantly lower in Syrian pregnant women (p<0.001 and p<0.001, respectively). Preterm birth rates and late preterm delivery prevalence (34-37 gestational weeks) were significantly higher in the adolescent Syrian immigrants' compared to the adolescent Turkish locals (p<0.001 and p<0.001, respectively). The average birth weight of the Syrian refugees was lower but the number of low birth weight babies was higher Turkish locals (p=0.010 and p=0.014, respectively). The preterm birth ratio and low birth weight ratio in Syrian adolescents has decreased over the years. CONCLUSION: Syrian adolescent refugees are particularly at risk of early pregnancy, high fertility rate, preterm birth, low birth weight, and anemia. Immigrant women should be provided with fertility, family planning, and training on behavior that protects reproductive health. Syrian pregnant women should be supported to receive services.

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Section: Resultsmentioning

confidence: 95%

“…Births after 28 weeks without signs of life were defined as stillbirth (17). Women who had at least two positive values in 100-g oral glucose tolerance test (OGTT) performed at 24-28 weeks of gestation were accepted as gestational diabetes mellitus (GDM) (18,19). Hemoglobin and hematocrit levels were evaluated at admission for delivery.…”

Section: Methodsmentioning

confidence: 99%

Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Gölbaşı

Vural

Bayraktar

et al. 2021

Gynecol Obstet Reprod Med

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“…One observational study from the United Kingdom (106) analyzed births from pregnant women with pre-existing diabetes (n = 222) matched with controls (n = 220) and found congenital anomaly/ fetal death was not associated with recurrent (OR 1.1, 95% CI 0.7-1.7) or severe hypoglycemia (OR 1.3, 95% CI 0.7-2.3). A recent retrospective Turkish study compared outcomes in fetuses born to pregnant women with hypoglycemia (n = 71) and normoglycemia (n = 554) on routine screening OGTT (107). Maternal single time-point hypoglycemia was associated with reduced birth weight (2.9kg vs 3.2kg), head circumference and body length with no difference in delivery type, gestational age, preterm labour, Apgar scores and NICU admissions.…”

Section: Ramadan Fasting and Potential Risks To The Fetusmentioning

confidence: 99%

Ramadan Fasting and Maternal and Fetal Outcomes in Pregnant Women with Diabetes Mellitus: Literature Review

Kumar

Diamond

2022

Front. Endocrinol.

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There is an emerging Muslim and diabetic population in the United States and other Western countries and majority of pregnant women and patients with diabetes mellitus choose to fast during Ramadan. Fasting during Ramadan in pregnant women with diabetes may represent a ‘perfect storm’ of metabolic disturbances including hyperglycemia, hypoglycemia and ketosis. Recent continuous and flash glucose monitoring data suggests increased glycemic variability (fasting hypo- and post-Iftar hyperglycemia) in non-pregnant patients with diabetes during Ramadan. Only five small-scale studies, predominantly focused on women with gestational diabetes mellitus in Muslim-majority nations have explored maternal glycemic outcomes during Ramadan which is associated with lower mean blood glucose levels and higher frequency of fasting hypoglycemia. Data is limited however on important clinical outcomes such as symptomatic and serious hypoglycemia requiring hospitalization. Results have been conflicting regarding maternal Ramadan fasting and association with fetal outcomes in women without diabetes. Only one recently published study reported on perinatal outcomes in pregnant women with gestational diabetes which found no effect of Ramadan exposure on mean birthweight or macrosomia frequency but lower neonatal hypoglycemia prevalence, however a significant limitation was lack of documentation of maternal fasting status. At this stage, due to paucity of data, the current medical recommendation is against Ramadan fasting for pregnant Muslim women with diabetes. Large-scale population-based studies are warranted regarding maternal and fetal outcomes in pregnant fasting women with diabetes and such studies should characterize maternal fasting status and have meaningful and consistent clinical outcomes. High-quality data derived from these studies can assist clinicians in providing more evidence-based advice to safely navigate both mother and fetus through a potentially challenging pregnancy.

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“…It was found that hypoglycemia during pregnancy causes stressful activation of HHACS in comparison the level of physiological pregnancy. Episodic hypoglycemia of the mother leads to a two-phase reaction of HHACS of her offspring: an increase in functional activity in the late prenatal and original research Одним из аспектов, на которые обращают внимание клиницисты, остается гипогликемия во время беременности [9,10]. Существенную помощь в выявлении последствий гипогликемии матери на плод и развитие ребенка в постнатальном онтогенезе оказывают модельные эксперименты на животных.…”

Section: ключевые слова: крысы гипогликемия гипоталамо-гипофизарно-адренокортикальная система адаптация стрессрезистентность потомстваunclassified

Influence of prenatal hypoglycemia on the adaptive possibilities of the hypothalamo-hypophyseal-adrenocortical system and resistance to stress in rats

Gubareva¹

2021

Medical news of the North Caucasus

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Pregnancy outcomes of women with hypoglycemia in the oral glucose tolerance test

Cited by 14 publications

References 14 publications

Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Ramadan Fasting and Maternal and Fetal Outcomes in Pregnant Women with Diabetes Mellitus: Literature Review

Influence of prenatal hypoglycemia on the adaptive possibilities of the hypothalamo-hypophyseal-adrenocortical system and resistance to stress in rats

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