2012•Zhongguo quanke yixueRequires access

The Effect of Standardized Treatment of Gestational Diabetes Mellitus on Pregnancy Outcome

Qi Li

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Abstract

Objective To study the effect of standardized treatment of gestational diabetes mellitus(GDM)on pregnancy outcome.Methods Totally 101 pregnant women with GDM were divided into satisfactorily controlled group(satisfactory group,n=78)and unsatisfactorily controlled group(unsatisfactory group,n=23)according to the level of serum glucose.The maternal and perinatal complications were compared between subjects with normal tolerance and without medical complications(control group,n=80).Results The maternal and perinatal complications were not significantly different between satisfactory group and control group(P0.05).The incidences of pregnancy-induced hypertension,polyhydramnios,preterm delivery,premature rupture of membranes,postpartum hemorrhage,fetal macrosmia,fetal distress,neonatal asphyxia,and hyperbilirubinemia were significantly higher in the unsatisfactory group than in the satisfactory group(P0.05).Conclusion Proper perinatal management and standardized GDM treatment are important to control the level of serum glucose and decrease the maternal and perinatal complications.

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Objective To study the effect of standardized treatment of gestational diabetes mellitus(GDM)on pregnancy outcome.Methods Totally 101 pregnant women with GDM were divided into satisfactorily controlled group(satisfactory group,n=78)and unsatisfactorily controlled group(unsatisfactory group,n=23)according to the level of serum glucose.The maternal and perinatal complications were compared between subjects with normal tolerance and without medical complications(control group,n=80).Results The maternal and perinatal complications were not significantly different between satisfactory group and control group(P0.05).The incidences of pregnancy-induced hypertension,polyhydramnios,preterm delivery,premature rupture of membranes,postpartum hemorrhage,fetal macrosmia,fetal distress,neonatal asphyxia,and hyperbilirubinemia were significantly higher in the unsatisfactory group than in the satisfactory group(P0.05).Conclusion Proper perinatal management and standardized GDM treatment are important to control the level of serum glucose and decrease the maternal and perinatal complications.

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Available abstract

Objective To study the effect of standardized treatment of gestational diabetes mellitus(GDM)on pregnancy outcome.Methods Totally 101 pregnant women with GDM were divided into satisfactorily controlled group(satisfactory group,n=78)and unsatisfactorily controlled group(unsatisfactory group,n=23)according to the level of serum glucose.The maternal and perinatal complications were compared between subjects with normal tolerance and without medical complications(control group,n=80).Results The maternal and perinatal complications were not significantly different between satisfactory group and control group(P0.05).The incidences of pregnancy-induced hypertension,polyhydramnios,preterm delivery,premature rupture of membranes,postpartum hemorrhage,fetal macrosmia,fetal distress,neonatal asphyxia,and hyperbilirubinemia were significantly higher in the unsatisfactory group than in the satisfactory group(P0.05).Conclusion Proper perinatal management and standardized GDM treatment are important to control the level of serum glucose and decrease the maternal and perinatal complications.

Key concepts: Medicine, Polyhydramnios, Asphyxia, Gestational diabetes, Fetal distress, Obstetrics, Pregnancy, Fetus

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