Comparison of maternal and fetal outcomes in parturients with and without a diagnosis of gestational diabetes / Comparação de desfechos maternos e fetais entre parturientes com e sem o diagnóstico de diabetes gestacional
Freitas, Inês Carolina Siqueira; Hintz, Micheli Cristiane; Orth, Larissa Chaiane; Rosa, Tamara Gonçalves da; Iser, Betine Moehlecke; Psendziuk, Carine.
Rev. bras. ginecol. obstet
; 41(11): 647-653, Nov. 2019. tab
Artículo
en Inglés
| LILACS | ID: biblio-1057882
Abstract Objective The present study aims to compare the maternal and fetal outcomes of parturients with and without a gestational diabetes diagnosis. Methods A case-control study including parturients with (cases) and without (control) a gestational diabetes diagnosis, who delivered at a teaching hospital in Southern Brazil, between May and August 2018. Primary and secondary data were used. Bivariate analysis and a backward conditionalmultivariate logistic regression were used to make comparisons between cases and controls, which were expressed by odds ratio (OR), with a 95% confidence interval (95%CI) and a statistical significance level of 5%. Results The cases (n=47) weremore likely to be 35 years old or older compared with the controls (n=93) (p<0.001). The cases had 2.56 times greater chance of being overweight (p=0.014), and a 2.57 times greater chance of having a positive family history of diabetes mellitus (p=0.01). There was no significant difference regarding weight gain, presence of a previous history of gestational diabetes, height, or delivery route. The mean weight at birth was significantly higher in the infants of mothers diagnosed with diabetes (p=0.01). There was a 4.7 times greater chance of macrosomia (p<0.001) and a 5.4 times greater chance of neonatal hypoglycemia (p=0.01) in the infants of mothers with gestational diabetes. Conclusion Therefore, maternal age, family history of type 2 diabetes, obesity and pregestational overweightness are important associated factors for a higher chance of developing gestational diabetes.
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