Estudo retrospectivo das implicações maternas, fetais e perinatais em mulheres portadoras de diabetes, em 20 anos de acompanhamento no Hospital Escola da Universidade Federal do Triângulo Mineiro

Chaves, Evelyne Gabriela Schmaltz; Franciscon, Priscila de Melo; Nascentes, Gabriel Antônio N.; Paschoini, Marina Carvalho; Silva, Adriana Paula da; Borges, Maria de Fátima

doi:10.1590/s0004-27302010000700006

Cited by 6 publications

(5 citation statements)

References 32 publications

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“…In a study conducted in Brazil by Chaves et al, 31 similar results to those observed in the present study were described, with pre-eclampsia/eclampsia rates of 20.6% for pregnant women with T1DM and of 14.3% for those with T2DM. In a Danish study, pre-eclampsia was diagnosed in 18% of pregnant women with T1DM.…”

Section: Discussionsupporting

confidence: 91%

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Oliveira

Belfort

Padilha

et al. 2022

Rev Bras Ginecol Obstet

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Objective To evaluate the effect of the carbohydrate counting method (CCM) on glycemic control, maternal, and perinatal outcomes of pregnant women with pregestational diabetes mellitus (DM). Methods Nonrandomized controlled clinical trial performed with 89 pregnant women who had pregestational DM and received prenatal care in a public hospital in Rio de Janeiro, state of Rio de Janeiro, Brazil, between 2009 and 2014, subdivided into historic control group and intervention group, not simultaneous. The intervention group (n = 51) received nutritional guidance from the carbohydrate counting method (CCM), and the historical control group (n = 38), was guided by the traditional method (TM). The Mann-Whitney test or the Wilcoxon test were used to compare intra- and intergroup outcomes and analysis of variance (ANOVA) for repeated measures, corrected by the Bonferroni post-hoc test, was used to assess postprandial blood glucose. Results Only the CCM group showed a reduction in fasting blood glucose. Postprandial blood glucose decreased in the 2nd (p = 0.00) and 3rd (p = 0.00) gestational trimester in the CCM group, while in the TM group the reduction occurred only in the 2nd trimester (p = 0.015). For perinatal outcomes and hypertensive disorders of pregnancy, there were no differences between groups. Cesarean delivery was performed in 82% of the pregnant women and was associated with hypertensive disorders (gestational hypertension or pre-eclampsia; p = 0.047). Conclusion Both methods of nutritional guidance contributed to the reduction of postprandial glycemia of women and no differences were observed for maternal and perinatal outcomes. However, CCM had a better effect on postprandial glycemia and only this method contributed to reducing fasting blood glucose throughout the intervention. ReBEC Clinical Trials Database The present study was registered in the ReBEC Clinical Trials Database (Registro Brasileiro de Ensaios Clínicos, number RBR-524z9n).

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Section: Discussionsupporting

confidence: 91%

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Oliveira

Belfort

Padilha

et al. 2022

Rev Bras Ginecol Obstet

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“…Morbidade materna grave em um hospital universitário de referência municipal em Campinas, Estado de São Paulo (33) 2008 - (34) 2010 Maternalfetal bond.…”

Section: Title Year Attributes Antecedentsunclassified

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

et al. 2020

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Objective: to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy. Method: an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020). Result: the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept. Conclusion: concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.

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“…O DMG é uma doença que está associada a altos índices de morbimortalidade materna e perinatal (14) . Além disso, frequentemente, observam-se complicações como hipoglicemia, hiperglicemia, cetoacidose, retinopatia, nefropatia, doença hipertensiva da gestação, polidrâmnio, trabalho de parto pré-termo, parto cesáreo por distócia de ombros, anomalias congênitas (cardíacas, renais, neurológicas e gastrointestinais), diminuição do crescimento cerebral, macrossomia fetal, fratura de clavícula, lesão do plexo braquial, hipoglicemia e hiperbilirrubinemia neonatal, doença da membrana hialina e corticoterapia antenatal (2,3,(15)(16) .…”

Section: Discussionunclassified

Diabetes Melito Gestacional E as Implicações Para O Cuidado De Enfermagem No Pré-Natal

Schmalfuss¹,

Prates²,

Azevedo³

et al. 2014

Cogitare Enferm.

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Trata-se de uma revisão integrativa da literatura que objetivou identificar os cuidados de enfermagemprestados às mulheres com diabetes melito gestacional durante a atenção pré-natal, evidenciados na literaturacientífica, entre os anos de 2004 e 2013. A coleta de dados foi realizada nas bases de dados LILACS e BDENF,utilizando os descritores “diabetes gestacional”, “cuidado pré-natal” e “enfermagem”. Foram selecionadas setepublicações. Evidenciou-se a existência de lacunas na atenção prestada às mulheres com diabetes gestacionale a importância do papel desempenhando pelo enfermeiro no contexto de cuidado da gestante, favorecendo aprática do autocuidado. O número restrito de publicações sobre a temática indica a necessidade de investimentoem produções voltadas para esse segmento populacional.

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Estudo retrospectivo das implicações maternas, fetais e perinatais em mulheres portadoras de diabetes, em 20 anos de acompanhamento no Hospital Escola da Universidade Federal do Triângulo Mineiro

Cited by 6 publications

References 32 publications

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Impact of Carbohydrate Counting Method during Pregnancy in Women with Pregestational Diabetes Mellitus: A Controlled Clinical Trial

Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review

Diabetes Melito Gestacional E as Implicações Para O Cuidado De Enfermagem No Pré-Natal

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