Maternal and perinatal characterization of diabetic pregnant woman
Abstract
Background: the care of diabetic patients is an important objective of health systems around the world. When this condition is associated to the pregnancy it requires a special care because it may causes different complications in pregnant women, fetus and new born.
Objective: to describe the results related to the labor of diabetic pregnant.
Methods: an observational descriptive cross-sectional study was carried out in in Provincial University Obstetrics and Gynecology Hospital at Camagüey during 2007-2015. The universe was sample by 1972 pregnant women that were divided in two groups. The data were obtained from medical records and they were processed by descriptive statistics.
Results: 87, 37 % pregnant women suffered from gestational diabetes. 165 new born were macrocosmic and 85 had intrauterine growth retardation. In this study 38 new born died and 17 had some congenital malformation.
Conclusions: gestational diabetes is more frequent than pre-gestational diabetes in a group of pregnant women. The most common alteration at the end of pregnancy in these women was macrocosmic. An important objective of medical services in diabetic’s pregnant women is to reduce fetal mortality and mortality around the labor.
DeCS: DIABETES, GESTATIONAL; CONGENITAL ABNORMALITIES; CHRONIC DISEASE; FETAL MACROSOMIA; EPIDEMIOLOGY, DESCRIPTIVE.
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References
1. Cunningham FG, Gant NF, Leveno KJ, Gilstrap LC, Hauth JC, Katharine D. Diabetes. En: Whitridge Williams J, editor. Tratado de Obstetricia. 21 ed. La Habana: Editorial Ciencias Médicas; 2007. p. 1151-87.
2. Pedersen J. The pregnant diabetic and her newborn. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care. 2003;26(7):2005–9.
3. Valdés Amador L. La diabetes mellitus gestacional. Rev Cubana Obst Ginecol. [Internet]. 2010 [citado 10 Ago 2015];36(2):[aprox. 2 p.] Disponible en: http://scielo.sld.cu/pdf/gin/v36n2/gin01210.pdf
4. Sánchez Turcios RA, Hernández López E. Diabetes mellitus Gestacional. Perspectivas actuales. Rev Med Inst Mex Seguro Soc [Internet]. 2011 [citado 10 Ago 2015];49(5):[aprox. 8 p.] Disponible en: http://www.medigraphic.com/pdfs/imss/im-2011/im115g.pdf
5. Márquez Guillén A, Lang Prieto J, Valdés Amador L, Cruz Hernández J, Guerrero Rodríguez E. Prediabetes y diabetes gestacional. Rev Cubana End [Internet]. 2011 [citado 10 Ago 2015];22(1):[aprox. 3 p.] Disponible en: http://www.bvs.sld.cu/revistas/end/vol22_1_11/end110111.htm
6. Bharti K, Sridnar G, Madhu K, Singh Y, Kumar R, Karla S. Psychosocial management of Diabetic in Pregnancy. Indian J Endocrinol Metab [Internet]. 2013 Sep-Oct [citado 2015 Aug 10];17(5):[about 4 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784864/.
7. Castaño López MA. Diabetes gestacional: obtención de un protocolo de actuación que permita realizar un mejor diagnóstico de la enfermedad [tesis]. España, Huelva: Universidad de Huelva, Departamento de Biología Ambiental y Salud Pública; 2015.
8. Duarte Gardea M, Muñoz G, Rodríguez Saldaña J, Escorza Domínguez AB. Prevalencia, detección, y tratamiento de la diabetes gestacional. Rev Salud Pública Nutrí [Internet]. 2004 [citado 10 Ago 2015];5(1):[aprox. 5 p.]. Disponible en: http://www.respyn.uanl.mx/v/1/ensayos/diebetes_gest.htm
9. García de Yeguez M, Castro Valderrama CR, Yeguez F, Rivas Blasco A. Cálculo de peso fetal en hijos de madres con diabetes mellitus. Ginecol Obstet Mex [Internet]. 2007 [citado 10 Ago 2015];75:[aprox. 8 p.]. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2007/gom071b.pdf
10. Rodríguez Fernández JM, Díaz Agüero H, del Risco Pastrana F, Amador de Varona CI. Diabetes y embarazo. Resultados de 21 años. Arch Méd Camagüey [Internet]. 2007 [citado 10 Ago 2015];11(6)[aprox. 7 p.]. Disponible en: http://www.redalyc.org/pdf/2111/211118053010.pdf
11. Valdés Ramos E, Blanco Rojas I. Frecuencia y factores de riesgo asociados con la aparición de la diabetes mellitus gestacional. Rev Cubana Obst Ginecol [Internet]. 2011 [citado 10 Ago 2015];37(4):[aprox. 11 p.]. Disponible en: http://www.bvs.sld.cu/revistas/gin/vol37_4_11/gin07411.htm
12. Achong N, Duncan EL, McIntyre D, Callaway L. Peripartum management of glycemia in women with type 1 diabetes. Diabetes Care [Internet]. 2014 [citado 2015 Aug 10];37:[about 4 p.]. Available from: http://care.diabetesjournals.org/content/diacare/37/2/364.full.pdf
13. Valdés Amador L, Santana Bacallao O, Rodríguez Anzardo B, Santurio Gil A, Marquéz Guillén A. La adolescente diabética embarazada. Rev Cubana Obst Ginecol [Internet]. 2011 [citado 10 Ago 2015];37(2):[aprox. 10 p.]. Disponible en: http://bvs.sld.cu/revistas/gin/vol37_2_11/gin07211.htm
14. Bautista - Castaño I, Henríquez Sánchez P, Alemán Pérez N, García Salvador JJ, Gónzalez Quesada A, García Hernández JA, et al. Maternal obesity in early pregnancy and risk of adverse outcomes. Plos One [Internet]. 2013 [citado 2015 Aug 10];8(11):[about 6 p.]. Available from: http://journals.plos.org/plosone/article/asset?id=10.1371/journal.pone.0080410.PDF
15. Pamela Nava D, Adrián Garduño A, Silvio Pestaña M, Mauricio Santamaría F, Gilberto Vázquez DA, Roberto Camacho B, et al. Obesidad pregestacional y riesgo de intolerancia a la glucosa en el embarazo y Diabetes Gestacional. Revi Chilena Obst Ginecol [Internet]. 2011 [citado 10 Ago 2015];76(1):[aprox. 5 p.]. Disponible en: http://www.scielo.cl/pdf/rchog/v76n1/art03.pdf
16. Giang L, Gjelsvik A, Cain R, Paine V. Gestational Diabetes in Rhode Island. Rhode Island Med J [Internet]. 2013 [citado 2015 Aug 10];[about 4 p.]. Available from: http://www.rimed.org/rimedicaljournal/2013/04/2013-04-45-health-diabetes.pdf
17. Nermin K. Effect of number of abnormal oral glucose tolerance test (OGTT) values on birth weight in women with gestational diabetes. Indian J Med Res [Internet]. 2013 [citado 2015 Aug 10];137(1):[about 7 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657905/.
18. Ogonowski J, Miazgowski T, Engel K, Celewicz Z. Birth weight predicts the risk of gestational diabetes mellitus and pregravid obesity. Nutrition [Internet]. 2014 [citado 2015 Aug 10];30:[about 5 p.]. Available from: http://www.nutritionjrnl.com/article/S0899-9007%2813%2900279-7/pdf
19. González Pérez IL. Macrosomía fetal en gestantes diabéticas y no diabéticas [tesis]. Guatemala: Universidad de San Carlos de Guatemala, Facultad de Ciencias Médicas, Escuela de estudios de postgrado; 2015.
20. Giugliano E, Cagnazzo E, Giugliano B, Caserta D, Moscarini M, Marci R. The prevention of gestational diabetes. J Diabetes Metab [Internet]. 2013 [citado 2015 Aug 10];4(7):[about 6 p.]. Available from: http://www.omicsonline.org/the-prevention-of-gestational-diabetes-2155-6156.1000286.pdf
21. Pablo Velázquez G, Genaro Vega M, Leticia Martínez M. Morbilidad y mortalidad neonatal asociada a la diabetes gestacional. Rev Chil Obstet Ginecol. 2010;75(1):35-40.
22. Katharina KO. Diabetes mellitus and the risk of preterm birth with regard to the risk of spontaneous preterm birth. J Matern Fetal Neonatal Med. 2010;23(9):1004–8.
23. Arizmendi J, Carmona Pertuz V, Colmenares A, Gómez Hoyos D, Palomo T. Diabetes gestacional y complicaciones neonatales. Rev Med [Internet]. 2012 [citado 10 Ago 2015];20(2):[aprox. 11 p.]. Disponible en: http://www.scielo.org.co/pdf/med/v20n2/v20n2a06.pdf

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