NGHIÊN CỨU TỶ LỆ VÀ KẾT CỤC THAI KỲ Ở SẢN PHỤ CÓ ĐÁI THÁO ĐƯỜNG THAI KỲ TẠI BỆNH VIỆN SẢN-NHI CÀ MAU

Abstract

 Background: Gestational diabetes mellitus (GDM) is a primary concern among metabolic diseases now. The disease tends to increase rapidly worldwide. Objectives: To determine the prevalence of pregnant women diagnosed with GDM at Ca Mau Obstetrics and Pediatrics Hospital and evaluate their pregnancy outcomes. Materials and methods: a cross-sectional study is described prospectively 55 pregnant women, who have taken oral glucose tolerance test at our hospital. Results: 19% of pregnant women diagnosed with GDM. Among GMD patients, only 55 were continuously followed up, and had taken birth at our hospital. Treatment by dietary change was applied for 89.1%. There was a statistically significant association between the treatment method and pregnancy weight gain and between pregnancy weight gain and birth weight. Forty patients (72.7%) went through Cesarean, and 97.5% of them by obstetrics indication. Gestational term at birth is mostly ≥37 weeks with 83.6%. Fetal failure in labor accounted 23.6%. Newborn weight over 4000g was 14.5%. Pregnancies with moderate outcome were 56.4%. Severe case and hospital transferring were not observed. Conclusion: The rate of GDM is quite high, the GDM screening help early diagnosis of GMD, and good glycemia controlling will decrease maternal complications, newborn diseases and perinatal death. Recommend to perform routinely GDM screening program for all pregnant women.