...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Gynecologie, obstetrique & fertilit >Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)
【24h】

Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)

机译：留尼汪岛（法国）的妊娠糖尿病的产科和新生儿结局

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To assess maternal and fetal outcomes in patients with gestational diabetes mellitus. PATIENTS AND METHODS: A retrospective study was conducted at the Sud-Reunion Hospital's maternity (French overseas department located in the Indian Ocean), during the period from January 1, 2001, through December 31, 2004. During this period, 1172 pregnant women presenting gestational diabetes mellitus were compared with 1172 non-diabetic controls matched on the basis of age, parity. Student t test, Pearson chi-square test and logistic regression model were used for statistical analysis. RESULTS: Gestational diabetes mellitus complicates about 7.5% of pregnancies in Reunion Island. Its occurrence was associated with a significantly increased prevalence of pre-pregnancy obesity (27 versus 9.4%) and chronic hypertension (5.3 versus 3.3%). The prevalence of preeclampsia and obstetrical vascular disorders were not different between the two groups, respectively 2.2 versus 2.7% (P=0.43) and 6.2 versus 4.4% (P=0.06). The rate of caesarean sections and inductions of labour was increased in the study group. The term of delivery was inferior in the study group, consecutive to increased rate of labour induction at 38 week-gestation. Macrosomia and large for gestational age (LGA) newborns rate were significantly higher in the study group, respectively 8.9 versus 4.2% and 22.5 versus 10.1% (P<0.001) but the rate of admission into neonatal unit was not significantly different. DISCUSSION AND CONCLUSION: Active management of gestational diabetes mellitus is associated with low maternal and perinatal morbidity. While age and parity are controlled by the study design, the prevalence of preeclampsia and gestational hypertension are not increased in women presenting gestational diabetes mellitus.
机译：目的：评估妊娠糖尿病患者的母婴结局。病人与方法：回顾性研究在2001年1月1日至2004年12月31日期间，在Sud-Reunion医院的产妇（位于印度洋的法国海外部门）进行。在此期间，有1172例孕妇将妊娠糖尿病患者与根据年龄，胎次匹配的1172名非糖尿病对照组进行比较。统计分析采用Student t检验，Pearson卡方检验和logistic回归模型。结果：妊娠糖尿病使留尼汪岛的妊娠复杂化约占7.5％。它的发生与怀孕前肥胖症的患病率显着增加（27对9.4％）和慢性高血压（5.3对3.3％）有关。两组子痫前期和产科血管疾病的患病率无差异，分别为2.2％和2.7％（P = 0.43）和6.2％和4.4％（P = 0.06）。在研究组中，剖腹产和引产的比例增加了。在研究组中，分娩期次等，在妊娠38周时接生率增加。研究组的大儿和大胎龄（LGA）新生儿比率分别显着较高，分别为8.9％对4.2％和22.5％对10.1％（P <0.001），但新生儿入院率没有显着差异。讨论与结论：积极管理妊娠糖尿病与较低的母亲和围产期发病率有关。尽管年龄和性别均受研究设计的控制，但患有妊娠糖尿病的妇女的先兆子痫和妊娠高血压的患病率并未增加。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号