Maternal and neonatal outcomes in mothers with diabetes mellitus in Qatari population

Bayoumi, Mohammad A A; Masri, Razan M; Matani, Nada Y S; Hendaus, Mohamed A.; Masri, Manal M; Chandra, Prem; Langtree, Lisa J.; D'Souza, Sunitha; Olayiwola, Noimot O; Shahbal, Saad; Elmalik, Einas Elzubier; Bakry, Mohamed Sobhy; Gad, Ashraf; Agarwal, Ravi

doi:10.1186/s12884-021-04124-6

Cited by 11 publications

(13 citation statements)

References 44 publications

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“…The HbA1C% before delivery was significantly higher in women with GDM in comparison to healthy ones. A higher maternal age and obesity were significantly associated with an increased risk of GDM [ 235 ].…”

Section: Asiamentioning

confidence: 99%

Evolution of Gestational Diabetes Mellitus across Continents in 21st Century

Dłuski

Ruszała

Rudziński

et al. 2022

IJERPH

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Over the last few decades, several definitions of gestational diabetes mellitus (GDM) have been described. There is currently not enough research to show which way is the best to diagnose GDM. Opinions differ in terms of the optimal screening and diagnostic measures, in part due to the differences in the population risks, the cost-effectiveness considerations, and the lack of an evidence base to support large national screening programs. The basic method for identifying the disease is the measurement of glucose plasma levels which may be determined when fasting, two hours after a meal, or simply at any random time. The currently increasing incidence of diabetes in the whole population, the altering demographics and the presence of lifestyle changes still require better methods of screening for hyperglycemia, especially during pregnancy. The main aim of this review is to focus on the prevalence and modifications to the screening criteria for GDM across all continents in the 21st century. We would like to show the differences in the above issues and correlate them with the geographical situation. Looking at the history of diabetes, we are sure that more than one evolution in GDM diagnosis will occur, due to the development of medicine, appearance of modern technologies, and the dynamic continuation of research.

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Section: Asiamentioning

confidence: 99%

Evolution of Gestational Diabetes Mellitus across Continents in 21st Century

Dłuski

Ruszała

Rudziński

et al. 2022

IJERPH

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“…GDM is a special type of diabetes with a morbidity of 17.5%-18.9%, and the morbidity increases with age[ 8 ]. GDM increases the morbidity of pregnancy-related complications, which could lead to adverse pregnancy outcomes such as premature delivery, cesarean section, macrosomia and premature rupture of membranes, thus attracting the attention of the majority of medical staff and pregnant women[ 9 , 10 ]. Some scholars have found that gestational age > 35 years, pre-pregnancy BMI, and family history of diabetes are all risk factors for GDM, which increasing the incidence of adverse pregnancy outcomes such as premature delivery, macrosomia and fetal distress[ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between age of pregnant women with gestational diabetes mellitus and mode of delivery and neonatal Apgar score

Dunstan¹,

Chen²,

Wang³

et al. 2022

WJD

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BACKGROUND Gestational diabetes mellitus (GDM) refers to abnormal glucose tolerance during pregnancy, and it is often accompanied by obvious changes in glucose and lipid metabolism, and associated with adverse pregnancy outcomes. The incidence of fetal distress, polyhydramnios, puerperal infection, premature delivery, and macrosomia in pregnant women with GDM are higher than in those without GDM. AIM To analyze the relationship between age of pregnant women with GDM and mode of delivery and neonatal Apgar score. METHODS A total of 583 pregnant women with GDM who delivered in the Department of Obstetrics at our hospital between March 2019 and March 2022 were selected. Among them, 377 aged < 35 years were selected as the right age group and 206 aged > 35 years were selected as the older group. The clinical data of the two groups were collected, and the relationship between age of the pregnant women with GDM and mode of delivery, maternal and neonatal outcomes, and neonatal Apgar score were compared. In the older group, 159 women were classed as the adverse outcome group and 47 as the good outcome group according to whether they had adverse maternal and infant outcomes. The related factors of adverse maternal and infant outcomes were analyzed through logistic regression. RESULTS The number of women with assisted pregnancy, ≤ 37 wk gestation, ≥ 2 pregnancies, one or more deliveries, and no pre-pregnancy blood glucose screening in the older group were all higher than those in the right age group ( P < 0.05). The natural delivery rate in the right age group was 40.85%, which was higher than 22.33% in the older group ( P < 0.05). The cesarean section rate in the older group was 77.67%, which was higher than 59.15% in the right age group ( P < 0.05). The older group had a higher incidence of polyhydramnios and postpartum hemorrhage, and lower incidence of fetal distress than the right age group had ( P < 0.05). There was no significant difference in neonatal weight between the two groups ( P > 0.05). The right age group had higher Apgar scores at 1 and 5 min than the older group had ( P < 0.05). Significant differences existed between the poor and good outcome groups in age, education level, pregnancy mode, ≤ 37 wk gestation, number of pregnancies, and premature rupture of membranes ( P < 0.05). Logistic regression showed that age, education level and premature rupture of membranes were all risk factors affecting the adverse outcomes of mothers and infants ( P < 0.05). CONCLUSION Delivery mode and Apgar score of pregnant women with GDM are related to age. Older age increases the adverse outcome of mothers and infants.

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“…GDM during pregnancy may have severe ill effects on an infant's health. The infant is at risk of developing fetal hyperglycemia, excessive birth weight, respiratory distress syndrome caused by insufficient lung surfactant, fetal hypoglycemia, prematurity, low calcium levels, and high bilirubin levels [30,31]. The Pedersen hypothesis explains the fetal adiposity and macrosomia that occurs in an infant born to a woman with GDM.…”

Section: Effect Of If On Neonatal Outcomes In Women With Gdmmentioning

confidence: 99%

“…This alteration happens due to an increase in fetal size due to fetal hyperinsulinemia [32]. A case-control study conducted in Qatar concluded that high birth weight was more prevalent in infants born to women with GDM despite antenatal diabetic care and management [30]. Similarly, a retrospective study conducted in India concluded that an infant born to a woman with GDM is at higher risk of developing obesity, T2DM and dyslipidemia in later life [31].…”

Section: Effect Of If On Neonatal Outcomes In Women With Gdmmentioning

confidence: 99%

Is intermittent fasting really beneficial for women with GDM? A mini-review

Arora¹,

Patel²,

Gokhale³

2023

Ital J Gynaecol Obstet

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Objective. Intermittent fasting (IF) is a diet regime that has been widely explored for its effect on weight loss, heart health and oxidative stress, especially in Type 2 Diabetes. The number of women suffering from Gestational Diabetes Mellitus (GDM) is increasing globally. Hence, the following review aims to explore the importance of IF in women suffering from GDM concerning maternal and neonatal outcomes and dietary quality and compliance. Materials and Methods.A systematic literature search was done using PubMed, Scopus, Google Scholar and Web of Science to review the interrelationship between intermittent fasting and GDM. Results.Evidence from studies support that intermittent fasting or other types of energy restriction along with exercise helps to improve mother and fetus-related outcomes in women with GDM. Evidence suggests that IF can help reduce blood sugar levels and weight of women suffering from GDM. A mother performing IF during pregnancy, especially with GDM, poses a risk to the ideal development and growth of the child, resulting in infants with low birth weight or excessive birth weight along with other complications. Conclusions.Various dietary regimes are prescribed for women with GDM. Our review illustrates how the role of IF in women with GDM is controversial. On one side, IF has shown beneficial effects on maternal health in women suffering from GDM. On the other side, IF shows questionable results on neonatal outcomes.

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Maternal and neonatal outcomes in mothers with diabetes mellitus in Qatari population

Cited by 11 publications

References 44 publications

Evolution of Gestational Diabetes Mellitus across Continents in 21st Century

Evolution of Gestational Diabetes Mellitus across Continents in 21st Century

Relationship between age of pregnant women with gestational diabetes mellitus and mode of delivery and neonatal Apgar score

Is intermittent fasting really beneficial for women with GDM? A mini-review

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