Aqueela AYAZ, Shazia SAEED, Mian Usman FAROOQ, Muhammad Luqman Ali BAHOO, Kashif HANIF

Gestational diabetes mellitus diagnosed in different periods of gestation and neonatal outcome

Amaç: Gebeliğin farklı dönemlerinde gestasyonel diabet tanısı alan kadınlarda anne ve bebek sonuçlarını değerlendirmek Gereç ve Yöntem: Bu tanımlayıcı gözlemsel çalışma Pakistan’daki 1300 yataklı “Bahawal Victoria Hastanesi” Kadın-Doğum Kliniğinde 1 Ocak-31 Aralık 2007 tarihleri arasında gerçekleştirildi. Oral glukoz tolerans testi sonucuna göre Ulusal Diabet Veri Grubu kriterlerine uyan 76 gebe kadın diabet tanısı aldı. Çalışma grubundaki hastalar gestasyonel diabetin (GDM) ilk tanı anındaki gebelik dönemine göre Grup A (gebelik haftası 13-23 arası), Grup B (24-30 haftalık gebelik) ve Grup C (31-36 haftalık gebelik) olarak alt gruplara ayrıldı. Bulgular: Toplam çalışma grubundan 19 (%25)’u erken başlangıçlı GDM (13-23 hafta), 25 (%32.9)’u 24-30 haftada, 32 (%42.1)’i 31-36 haftada (geç başlangıçlı GDM idi. Erken başlangıçlı GDM’li grupta gebelik ilintili hipertansiyon 5 (%26.3), polihidramniyos 5 (%26.3), insülin tedavisi 13 (%68.4)’ünde görüldü ve bu oranlar diğer dönemlerdeki hastalardan daha yüksekti (p

Gebelik diyabeti ve yenidoğana etkisi

Objective: To evaluate the maternal and neonatal outcomes in women diagnosed as gestational diabetes mellitus (GDM) in different periods of pregnancy. Materials and Methods: This descriptive observational study was carried out from 1st January 2007 to 31th December 2007 in the department of Obstetrics and Gynecology of a 1300 bedded tertiary care hospital "Bahawal Victoria Hospital" in Bahawalpur, Pakistan. Seventy six pregnant women met the inclusion criteria of diabetes diagnosed on the basis of the Oral glucose tolerance test (OGTT) according to the National Diabetic Data Group. The study subjects were divided on the basis of gestational age at the first time diagnosis of GDM in the current pregnancy into group A (gestational age 13-23 weeks), group B (24-30 weeks) and group C (31-36 weeks). Results: Out of total study subjects, 19 (25%) were diagnosed as GDM between 13-23 weeks of gestation (early-onset), 25 (32.9%) between 24-30 weeks while 32 (42.1%) diagnosed in the gestational age of 31-35 weeks (late-onset). Pregnancy-induced hypertension 5 (26.3%), polyhydramnios 5 (26.3%) and insulin treatment 13 (68.4%) were higher in women with earlier GDM diagnosis (p<0.05). APGAR score at 5-min below seven was seen in 3 (15.8%), large for gestational age in 5 (26.3%), respiratory distress in 6 (31.5%) and pre-term delivery in 5 (26.3%) of the early GDM group. These complications were seen more frequently in the early group compared with late-onset GDM group (p<0.05). Conclusion: Earlier diagnosis of GDM was seem to be associated with less favorable newborn outcome.

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