Results: Approximately 28% of the pregnant women aged younger than 35 years with no risk factors for gestational diabetes mellitus were diagnosed with the oral glucose tolerance test in this study. In the gestational diabetes mellitus group, the primary cesarean section rate was importantly higher than that in the non-gestational diabetes mellitus group. Preterm delivery was also associated with gestational diabetes mellitus. The diagnosis of gestational diabetes mellitus was strongly associated with admittance to the neonatal intensive care unit. Neonatal respiratory problems didn't showed any significant deviation between the groups. There was a moderate association between gestational diabetes mellitus and metabolic complications.
Conclusion:Pregnant women with no obvious risk factors were diagnosed with gestational diabetes mellitus using the World Health Organization criteria. The treatment of these women potentially reduced their risk of adverse maternal and neonatal hyperglycemia-related events, such as cesarean section, polyhydramnios, preterm delivery, admission to neonatal intensive care unit, large for gestational age, and higher neonatal weight. (J Turk Ger Gynecol Assoc 2015; 16: 25-9) Keywords: Gestation, diabetes mellitus, pregnancy, oral glucose tolerance test, neonatal outcomes Received: 25 July, 2014 Accepted: 10 January, 2015 Gestational diabetes mellitus screening and outcomesHale Lebriz Aktün, Derya Uyan, Betül Yorgunlar, Mustafa Acet Department of Obstetrics and Gynecology, İstanbul Medipol University Hospital, İstanbul, Turkey
AbstractOriginal Investigation 25 treatment with self-observing of blood glucose levels (fasting and 1 h after each meal) daily with a glucometer. Subsequent follow-ups were conducted for all patients biweekly or more frequently as indicated. Treatment outcomes were evaluated according to the American Diabetes Association recommendations (6). All demographic characteristics (age, parity, family history of diabetes, and self-reported prepregnancy weight) of the patients were obtained from their existing records. Birth mode (cesarean or vaginal delivery) and labor induction, preterm delivery (delivery before 37 weeks of gestation), gestational hypertension, preeclampsia, polyhydramnios, and oligohydramnios were also documented from these records. The recorded adverse fetal outcomes were infant death, stillbirth, dystocia, bone fracture, nerve palsy, admission to the neonatal intensive care unit (NICU), respiratory complications [including respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN)] that increased birth weight, macrosomy (birth weight of >4000 g), large for gestational age (LGA, defined as birth weight> the 90 th percentile on standard charts), small for gestational age (SGA, defined as birth weight < the 10 th percentile on standard charts), and metabolic complications including hypocalcemia, hemoglobin level ≥20 g/dL, hypoglycemia (blood glucose level ≤35 mg/dL), and hyperbilirubinemia requiring phototherapy.
ResultsThe pr...
