Influence of mid and late pregnancy intervention on maternal and neonatal outcomes of gestational diabetes mellitus

Objective To study the influence of mid and late pregnancy intervention on maternal and neonatal out comes of gestational diabetes mellitus.Methods All of 126 cases of gestational diabetes mellitus(GDM) patients ad mitted in our hospital from March 2009 to March 2012 were selected for observation,60 cases of them in the period of mid pregnancy were divided into group A,while other 66 cases in the period of late pregnancy(after 32 weeks) were divided into group B.Two groups of patients were given timely intervention,and compared the intervention effects of complications,maternal and neonatal outcomes,and method of pregnancy termination between the two groups.Results The complication incidence(gestational hypertension,polyhydramnios,postpartum infection and ketoacidosis) of group A were lower than that of group B(P 0.05),the incidence of macrosomia(20.0%),premature infants(16.7%),fetal distress or neonatal asphyxia(16.7%) and the perinatal death rate(0.0%) of group A were lower than that of group B(P 0.05),the cesarean delivery rates of group A(53.3%) was significantly lower than group B(78.8%),the difference was statistically significant(P 0.05).Conclusion The mid pregnancy intervention on maternal and neonatal outcomes of GDM is superior to the late pregnancy intervention,pregnant women should do prenatal care seriously,screening and diagnosis as soon as possibly,and receive treatment timely,so as to reduce the complication incidence,cesarean de livery rates,and improve maternal and neonatal outcomes.