Analysis the relationship between gestational diabetes mellitus and pregnancy outcome / 中国基层医药

ABSTRACT

Objective To evaluate the influence of gestational diabetes mellitus(GDM) on the pregnancy outcome. Methods 84 cases with GDM by the clinical data of patients with GDM were analyzed retrospectively;84 cases were divided into untreated group(A group)42 cases and diet plus insulin treatment group(B group)45 cases, compared 2 groups of pregnancy outcome. Results In B group of pregnancy - induced hypertension, placental abrup-tion, polyhydranmios,when the middle class bleeding, puerperal infection (19.6%, 0%, 0%, 2.0%, 3.9%) were lower than A group (42.9%, 7.1% ,4.8% ,7.1%, 9.5%) (t=2.123,t =2.241,t =2.135,t =2. 312,t =2.309,P <0.05) ;In B group of gestational age(33.3%) was significantly lower than A group(23.8%) (χ2 = 3.95, P <0.05) ; In A group of cesarean section rate (69.0%) was significantly higher than the B group (22.2%) (χ2=4.01, P <0.05) ;in B group of stillbirth group (0%) was significantly lower than A group (9.5 %) (χ2= 7.89, P <0.01) ;In B group of birth weight was higher than A group(t = 2.209, P < 0.05), neonatal complications was lower than A group(χ2 =6.89,χ2 =7.09,χ2 =7.49,χ2=6.99,χ2 =7.29,χ2=7.39,P <0.01). Conclusion Pregnan-cy with diabetes is harmful to mother and infant. Diagnosing and treating the eases earlier can decrease the complica-tions of mother and infant as well as the death rate of perinatal fetus.