بررسی مراقبت و پیامد مادر، جنین و نوزاد مادران مبتلا به دیابت بارداری در 1387

ایرانپرور, منوچهر and پورفرضی, فرهاد and دادخواه, مینو (1388) بررسی مراقبت و پیامد مادر، جنین و نوزاد مادران مبتلا به دیابت بارداری در 1387. در: کنگره بین المللی دیابت و عوارض آن, 29-31 ارديبهشت 1388, یزد.

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Quality of Care and Outcome of Mother, Fetus and neonate of women with gestational diabetes mellitus in Ardabil 2007-2008

English Abstract

Background: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Untreated GDM causes significant risk of perinatal morbidity. However, treatment will improve out com. The purpose of this study was to assess the quality of care and outcome of mother, fetus and neonates of women with GDM in Ardabil 2007-2008. Methods: This study was performed on women with diagnosis of GDM according to criteria of Carpenter and Coustan. A modified version of National Screening GDM was administered for data the questionnaire contained on demographic factors, medical and obstetric history, risk factors and results of oral Glucose Tolerance test (OGTT). Results of tests and physical examination and type of treatment were recorded at each visit and patients were then followed until delivery six weeks later another OGTT test was performed to assess the quality of post partum glucose tolerance. Results: Seventy patients enrolled in the study. Family history of diabetes was positive in 58.6% of cases. 76% of them were in high risk group and 24% in low risk group for GDM. The mean referral time during pregnancy was 3.66 ± 2.66 and mean gestational weeks was 25.6 ± 8.06 weeks. Eighty percent of patients were controlled by diet and 20% needed insulin for controlling of GDM. 24.3% of patients had self monitoring blood glucose (SMBG) during pregnancy. Forty percent of patients needed hospitalization. Oligohydramnious and polyhydramnious were observed in 4.3% 10% of cases, respectively. Macrosomia in 20% fetal distress in 12.9% and dystocia in 11.4% led the delivery to caesarean section. Intra uteri neath in 1.4% and neonatal death in 7.1% six weeks after delivery an OGTT test was performed to assess the quality of glucose tolerance. 15.7% of patients had diabetes mellitus and 10% impaired glucose tolerance test (IGT). Conclusion: No appropriate care was observed for either mothers with GDM or their neonates. High rate of macrosomia was detected in this study due ti poor control of GDM. Hypoglycemia was the most prevalence complication of GDM in neonates.

Item Type:Conference or Workshop Item (Poster)
زبان سند : انگلیسی
نویسنده مسئول :منوچهر ایرانپرور
Additional Information:شماره پوستر : P168
Subjects:WP Gynecology
WQ Obstetrics
WK Endocrine System
Divisions:Faculty of Medicine > Department of Pediatrics , Community Medicine
Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
ID Code:541
Deposited By: Dr Farhad Pourfarzi
Deposited On:24 Oct 1388 12:48
Last Modified:07 Dec 1391 09:10

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