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Isolated polyhydramnios in the third trimester or polyhydramnios secondary to late-onset gestational diabetes: is it worth distinguishing?
Özkan, Sadullah; Dereli, Murat Levent; Sucu, Sadun; Varlı, Erol Nadi; Akay, Arife; Uzlu, Safiye Elif; Çağlar, Ali Turhan; Engin-Ustun, Yaprak.
Afiliación
  • Özkan, Sadullah; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Dereli, Murat Levent; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Sucu, Sadun; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Varlı, Erol Nadi; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Akay, Arife; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Uzlu, Safiye Elif; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Neonatology. Ankara. TR
  • Çağlar, Ali Turhan; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
  • Engin-Ustun, Yaprak; Etlik Lady Zübeyde Maternity and Womens Health Teaching and Research Hospital. Department of Obstetrics and Gynaecology. Ankara. TR
Rev. Assoc. Med. Bras. (1992, Impr.) ; Rev. Assoc. Med. Bras. (1992, Impr.);70(6): e20231390, 2024. tab
Article en En | LILACS-Express | LILACS | ID: biblio-1565021
Biblioteca responsable: BR1.1
Ubicación: 1806-9282-ramb-70-6-e20231390.xml
RESUMO
SUMMARY

OBJECTIVE:

The aim of this study was to compare pregnancy outcomes of patients with polyhydramnios due to late-onset gestational diabetes mellitus and patients with isolated polyhydramnios.

METHODS:

Of the women who fully participated in prenatal examinations at Etlik Lady Zübeyde Hospital between January 1, 2018, and December 31, 2019, women with polyhydramnios of nonfetal-placental origin manifesting in the third trimester were retrospectively reviewed. Women with normal 75-g oral glucose tolerance test results between 24 and 28 weeks gestation who met the inclusion criteria were enrolled in the study and divided into two groups based on the results of rescreening with the 75-g oral glucose tolerance test for polyhydramnios in the third trimester women with isolated polyhydramnios (group 1) and women with late-onset polyhydramnios due to gestational diabetes mellitus (group 2).

RESULTS:

There were a total of 295 participants, of whom 35 (11.8%) were diagnosed with polyhydramnios due to late-onset gestational diabetes mellitus. There were no differences in the main outcomes. Birthweight and gestational age at birth were identified as independent risk factors for predicting composite maternal outcome {[odds ratio (OR)=1.273, 95% confidence interval (CI) 1.063-1.524, p=0.009]} and composite neonatal outcome (OR=0.606, CI 0.494-0.744, p<0.001), respectively.

CONCLUSION:

Polyhydramnios in late pregnancy without evidence of pregnancy-related causes leading to polyhydramnios may be a sign of late-onset gestational diabetes mellitus in women with a normal prior oral glucose tolerance test. As pregnancy outcomes and management were indifferent, it does not seem necessary or useful to diagnose whether or not late-onset gestational diabetes mellitus is present.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. Assoc. Med. Bras. (1992, Impr.) Asunto de la revista: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Rev. Assoc. Med. Bras. (1992, Impr.) Asunto de la revista: Educa‡Æo em Sa£de / GestÆo do Conhecimento para a Pesquisa em Sa£de / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Brasil