Review of profile and prenatal care for women with gestational diabetes mellitus

Neta, Francisca Adriele Vieira; Crisóstomo, Vicente Lima; Castro, Régia Christina Moura Barbosa; Pessoa, Sarah Maria Fraxe; Aragão, Maria Marly Santos; Calou, Cínthia Gondim Pereira

doi:10.15253/2175-6783.2014000500012r

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…In our patients with PPROM, 8.1% were diagnosed with diabetes, a rate that appears high but that was lower than the 17.8% rate of gestational diabetes described at the same service (29) at another time, using new diagnostic criteria. In contrast, a Brazilian study that included 50 patients with gestational diabetes treated at a public maternity service in Ceará, northeastern Brazil, described an overall amniorrhexis rate of 16% in such patients, higher than the classically reported rate of 10% (30). Another study from Austria (31) reported a lower PROM rate followed by spontaneous labor in pregnant women with diabetes (41.6%) than in the control group (65.7%).…”

Section: Discussionmentioning

confidence: 81%

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Galletta

Bittar

Agra

et al. 2019

Clinics

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OBJECTIVE:To perform a descriptive analysis of preterm premature rupture of membranes (PPROM) cases attended in a tertiary hospital.METHOD:Retrospective analysis of medical records and laboratory tests of patients admitted to a Brazilian tertiary hospital between 2006 and 2011, with a confirmed diagnosis of PPROM and gestational age (GA) at delivery <37 weeks.RESULTS:A total of 299 pregnant women were included in the study. Nine patients evolved to abortion, and 290 pregnant women remained for the final analysis. There was initial diagnostic doubt in 17.6% of the cases. The oligohydramnios rate [amniotic fluid index (AFI) <5] was 27.9% on admission. Chorioamnionitis was initially diagnosed in 10.8% of the patients and was retrospectively confirmed in 22.9% of the samples. The latency period had a mean of 9.1 days. The main reasons for interruption were premature labor (55.2%), GA ≥36 weeks (27.2%), and fetal distress (6.9%). The delivery method was cesarean section in 55% of cases. The mean birth weight was 2,124 grams, and 67% of the neonates had a low birth weight (<2500 g). The GA at delivery averaged 33.5 weeks. The stillbirth rate was 5.3%, and the early neonatal mortality rate was 5.6%. There were complications at delivery in 18% of mothers.CONCLUSION:In one of the few Brazilian reports on the epidemiological profile of PPROM, with GA until 37 weeks and intercurrences generally excluded from assessments (such as twinning and fetal malformations), there is a favorable evolution, with an acceptable rate of complications.

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Section: Discussionmentioning

confidence: 81%

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Galletta

Bittar

Agra

et al. 2019

Clinics

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“…Abdominal delivery is generally recommended in the presence of certain factors, including cephalopelvic disproportion, cervix unfavorable for induction, fetal macrosomia, fetal distress, and risk of intrauterine death. 3 …”

Section: Introductionmentioning

confidence: 99%

“…In some occasions, however, the benefits associated with reducing the maternal-fetal morbidity and mortality outweigh the risks associated with performing a cesarean section. 3 7 Some studies suggest that unplanned (emergency) cesarean sections result in increased maternal morbidity compared with planned cesareans. 8 Thus, it is important to identify which risk factors may lead to a requirement for cesarean delivery, so that the procedure can be planned in advance, if necessary, to avoid possible complications for both the mother and the fetus.…”

Section: Introductionmentioning

confidence: 99%

Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus

Gascho

Leandro

Silva

et al. 2017

Rev Bras Ginecol Obstet

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Purpose The aim of this study was to evaluate which risk factors may lead patients with gestational diabetes mellitus to cesarean delivery. Methods This was a retrospective, descriptive study. The subjects of the study were pregnant women with gestational diabetes mellitus attending a public maternity hospital in the south of Brazil. The primary outcomes assessed were based on maternal and fetal characteristics. The data were correlated using an odds ratio (OR) with a 95% confidence interval (95%CI), calculated using multinomial logistic regression. Results A total of 392 patients with gestational diabetes mellitus were analyzed, and 57.4% of them had cesarean deliveries. Among the maternal characteristics, the mean age of the patients and the pregestational body mass index were greater when a cesarean delivery was performed (p ¼ 0.029 and p < 0.01 respectively). Gestational age at birth, newborn weight, weight class according to gestational age, and Apgar score were not significant. The analysis of the OR showed that the chance of cesarean delivery was 2.25 times (95%CI ¼ 1.49-2.39) greater if the pregnant woman was obese, 4.6 times (95%CI ¼ 3.017-7.150) greater if she was a primigravida, and 5.2 times (95% CI ¼ 2.702-10.003) greater if she had a previous cesarean delivery. The other parameters analyzed showed no differences. Conclusion The factors that led to an increase in the occurrence of cesarean deliveries included history of a prior cesarean section, first pregnancy, and obesity. Palavras-chave► cesárea ► diabetes gestacional ► fatores de risco ResumoObjetivo O objetivo deste trabalho é avaliar quais os fatores de risco que podem levar pacientes com diabetes mellitus gestacional ao parto cesáreo. Métodos Trata-se de um estudo retrospectivo descritivo. Foram sujeitos do estudo gestantes portadoras de diabetes mellitus gestacional atendidas em uma maternidade pública do Sul do Brasil. Os desfechos primários avaliados foram baseados em características maternas e fetais. Os dados foram relacionados por meio da razão de chance

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Ocorrência De Diabetes Mellitus Gestacional Em Uma Unidade Básica De Saúde De Cajazeiras-Pb No Ano De 2015

Campos¹,

Pimenta²,

Silva³

et al. 2019

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Objetivo: Verificar a ocorrência de Diabetes Mellitus Gestacional em uma unidade básica de saúde de Cajazeiras-PB. Metodologia: Trata-se de uma pesquisa de campo, tipo descritiva, com uma abordagem quali-quantitativa. A população estudada foi composta por gestantes que fizeram o pré-natal em uma unidade básica de saúde de Cajazeiras-PB, no ano de 2015. Foram avaliados prontuários de 100 gestantes que realizaram o pré-natal nesta unidade. Resultados: Dos prontuários avaliados, apenas 2 mostraram diagnóstico de Diabetes Mllitus Gestacional (DMG) com valores superiores à 126 mg/dL de Glicemia de Jejum, e os 98 restantes apresentaram valores inferiores à 92 mg/dL. De acordo com os dados coletados, observou-se que a prevalência do DMG na Unidades Básica de Saúde de cajazeiras-PB apresentou uma frequência de 2 casos apenas e em nenhum momento as gestantes tiveram acompanhamento nutricional. O nutricionista tem papel fundamental na prevenção e tratamento do DMG, juntamente com outros profissionais da área da saúde, com o objetivo de controlar a glicemia e evitar problemas futuros tanto para a mãe como para o bebê. Conclusão: Os resultados encontrados apontam que os perfis glicêmicos da maioria das gestantes das unidades básicas de saúde Cajazeiras-PB, encontram-se dentro dos valores de normalidade. Esse resultado mostra que as gestantes estão fazendo a prevenção, se alimentando da forma adequada. A presente pesquisa é relevante, pois se trata de uma patologia que coloca em risco a saúde da gestante e do feto. Determinar a ocorrência de DMG irá evidenciar a necessidade do controle e da prevenção à população sobre essa doença, buscando assim uma melhor qualidade de vida para as futuras mães e seus filhos. Palavras chave: Diabetes mellitus gestacional. Prevalência. Diagnóstico.

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Review of profile and prenatal care for women with gestational diabetes mellitus

Cited by 4 publications

References 5 publications

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Epidemiological profile of patients with preterm premature rupture of membranes at a tertiary hospital in São Paulo, Brazil

Predictors of cesarean delivery in pregnant women with gestational diabetes mellitus

Ocorrência De Diabetes Mellitus Gestacional Em Uma Unidade Básica De Saúde De Cajazeiras-Pb No Ano De 2015

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