2017, Number 1
<< Back Next >>
AMC 2017; 21 (1)
Maternal and perinatal characterization of diabetic pregnant woman
Rodríguez FJM, Díaz AH, Amador VCI, Cabrera FI, Luaces SP, Cordoví RL
Language: Spanish
References: 23
Page: 854-863
PDF size: 788.78 Kb.
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 in Provincial University Obstetrics and Gynecology Hospital at Camagüey during 2007-2015.
Methods: an observational descriptive cross-sectional study was carried out. 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.
REFERENCES
Cunningham FG, Gant NF, Leveno KJ, Gilstrap LC, Hauth JC, Katharine D. Diabetes. En: Whitridge Williams J, editor. Tratado de Obstetri-cia. 21 ed. La Habana: Editorial Ciencias Médi-cas; 2007. p. 1151-87.
Pedersen J. The pregnant diabetic and her newborn. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care. 2003;26(7):2005–9.
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
Sánchez Turcios RA, Hernández López E. Dia-betes mellitus Gestacional. Perspectivas actua-les. Rev Med Inst Mex Seguro Soc [Internet]. 2011 [citado 10 Agosto 2015];49(5):[aprox. 8 p.] Disponible en: http://www.medigraphic.com/pdfs/imss/im-2011/im115g.pdf
Márquez Guillén A, Lang Prieto J, Valdés Amador L, Cruz Hernández J, Guerrero Rodríguez E. Prediabetes y diabetes gestacional. Rev Cuba-na 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
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/.
Castaño López MA. Diabetes gestacional: ob-tención de un protocolo de actuación que permi-ta realizar un mejor diagnóstico de la enferme-dad [tesis]. España, Huelva: Universidad de Huel-va, Departamento de Biología Ambiental y Salud Pública; 2015.
Duarte Gardea M, Muñoz G, Rodríguez Salda-ña J, Escorza Domínguez AB. Prevalencia, detec-ción, 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
García de Yeguez M, Castro Valderrama CR, Yeguez F, Rivas Blasco A. Cálculo de peso fetal en hijos de madres con diabetes mellitus. Gine-col Obstet Mex [Internet]. 2007 [citado 10 Ago 2015];75:[aprox. 8 p.]. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2007/gom071b.pdf
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
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
Achong N, Duncan EL, McIntyre D, Callaway L. Peripartum management of glycemia in wo-men 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
Valdés Amador L, Santana Bacallao O, Rodrí-guez 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
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
Pamela Nava D, Adrián Garduño A, Silvio Pestaña M, Mauricio Santamaría F, Gilberto Váz-quez DA, Roberto Camacho B, et al. Obesidad pregestacional y riesgo de intolerancia a la glu-cosa en el embarazo y Diabetes Gestacional. Re-vi 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
Giang L, Gjelsvik A, Cain R, Paine V. Gesta-tional 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
Nermin K. Effect of number of abnormal oral glucose tolerance test (OGTT) values on birth weight in women with gestational diabetes. Indi-an 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/.
Ogonowski J, Miazgowski T, Engel K, Celewicz Z. Birth weight predicts the risk of ges-tational 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
González Pérez IL. Macrosomía fetal en ges-tantes diabéticas y no diabéticas [tesis]. Guate-mala: Universidad de San Carlos de Guatemala, Facultad de Ciencias Médicas, Escuela de estu-dios de postgrado; 2015.
Giugliano E, Cagnazzo E, Giugliano B, Caser-ta D, Moscarini M, Marci R. The prevention of gestational diabetes. J Diabetes Metab [Internet]. 2013 [citado 2015 Aug10];4(7):[about 6 p.]. Available from: http://www.omicsonline.org/the-prevention-of-gestational-diabetes-2155-6156.1000286.pdf
Pablo Velázquez G, Genaro Vega M, Leticia Martínez M. Morbilidad y mortalidad neonatal asociada a la diabetes gestacional. Rev Chil Obs-tet Ginecol. 2010;75(1):35-40.
Katharina KO. Diabetes mellitus and the risk of preterm birth with regard to the risk of spon-taneous preterm birth. J Matern Fetal Neonatal Med. 2010;23(9):1004–8.
Arizmendi J, Carmona Pertuz V, Colmenares A, Gómez Hoyos D, Palomo T. Diabetes gestacio-nal 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