Pregnancy outcome in gestational diabetes

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• 作者：Zitian Fan ; Huixia Yang ; Xuelian Gao ; Hanna Lintu and Weijie Sun
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2006
• 期刊代码：130_00207292
• 类别：med
• 出版时间：July 2006
• 卷：94
• 期：1
• 页码：12-16
• 文件大小：77 K

摘要

Objective

To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management, with special focus on concurrent GDM and pre-eclampsia.

Methods

A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome, glycemic control, concurrent pre-eclampsia, and diabetic management were collected and analyzed.

Results

The incidence of GDM was 3.8%. Of the affected women, 62.9%were managed with diet only and the remainder received insulin treatment. Overall, 80.7%had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications.

Conclusion

Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.