Clinical Analysis of Gestational Diabetes and Pregnancy Outcome
Miao Jia-ya
Abstract
Miao Jia-ya
Abstract
Objective: To study the influence of gestational diabetes mellitus(GDM) on the outcome of gravida and fetal health. Methods: The clinical data of 184 cases of GDM patients and 200 cases of healthy gravida were retrospectively analyzed, the pregnancy outcome of two groups was compared. Results: In GDM group, 35 cases of pregnant period hypertensive disorders(19%), 17 cases of polyhydramnios(9.2%), 21 cases of premature delivery(11.4%), 14 cases of postpartum hemorrhage(7.6%), 12 cases of puerperal infection(6.5%) were found, which were all significantly higher than those in the control group(P0.05); 48 cases of macrosomia(26.1%), 31 cases of neonatal hypoglycemia(16.8%) were all significantly higher than those in the control group(P0.05), and fetal distress rate(3.3%) was higher than that of the control group, but there was no significant difference between two groups(P0.05). In GDM group, 141 cases of cesarean section(76.6%), 43 cases of vaginal delivery(23.4%), and the rate of cesarean section were all significantly increased compared with the control group(P0.05). Conclusion: GDM had adverse effects on the outcome of pregnancy, gravida should strengthen the health care during pregnancy, and accept the standard treatment of gestational diabetes mellitus, decrease the complications.
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Objective: To study the influence of gestational diabetes mellitus(GDM) on the outcome of gravida and fetal health. Methods: The clinical data of 184 cases of GDM patients and 200 cases of healthy gravida were retrospectively analyzed, the pregnancy outcome of two groups was compared. Results: In GDM group, 35 cases of pregnant period hypertensive disorders(19%), 17 cases of polyhydramnios(9.2%), 21 cases of premature delivery(11.4%), 14 cases of postpartum hemorrhage(7.6%), 12 cases of puerperal infection(6.5%) were found, which were all significantly higher than those in the control group(P0.05); 48 cases of macrosomia(26.1%), 31 cases of neonatal hypoglycemia(16.8%) were all significantly higher than those in the control group(P0.05), and fetal distress rate(3.3%) was higher than that of the control group, but there was no significant difference between two groups(P0.05). In GDM group, 141 cases of cesarean section(76.6%), 43 cases of vaginal delivery(23.4%), and the rate of cesarean section were all significantly increased compared with the control group(P0.05). Conclusion: GDM had adverse effects on the outcome of pregnancy, gravida should strengthen the health care during pregnancy, and accept the standard treatment of gestational diabetes mellitus, decrease the complications.
Key concepts: Medicine, Gestational diabetes, Fetal distress, Pregnancy, Obstetrics, Polyhydramnios, Hypoglycemia, Vaginal delivery