engleski

Gestation diabetes mellitus

To determine the incidence of carbohydrate intolerance during pregnancy and its impact on neonatal outcomes which have not been formally established in our region. Research design and methods. A retrospective analysis of 34997 deliveries. Those were women who received prenatal care at the University Clinic of Gynecology and Obstetrics in Rijeka, Croatia, during the period 1987 to 1996. An abnormal glucose screen defined as fasting blood glucose (FBG) 5, 8-10 mmol/l was followed by 2hrs 75 glucose tolerance test (GTT). Gestational diabetes was defined as the presence of two hyperglicemic FBG and abnormali GTT. Data collected included maternal age, gravidity, presence of risk factors, prepregnant body mass index (BMI) glucose testing. Macrosomia was analysed by both birthweight 4000 g and gender specific birthweight 90th percentile for gestational age criteria. Gestational diabetes were diagnosed in of the stady women. In 108 women with hypergicaemic FBG following GTT was positive in 42 ie 39%. Prepregnant adipositas was identified in three thirds of GDM women. Factors associated with the detection of glucose intolerance included high prepregnancy body weight and body mass index and heigh pregnancy weight gain. Macrosomia was detected in one third of GDM mothers. There were no differences in the mode of delivery and in the frequency of 5-min Appgar score 7 and metabolic complications among the infants of all analysed mothers. To prevent GDM as well as to reduce the rate of macrosomic infants good glycemic control should be initiated before 34 h gestational week and women should be counseled and encourage to lose weight before pregnancy.

gestation; Diabetes mellitus; neonatal outcome

nije evidentirano