Obstetrical care in gestational diabetes and management of preterm labour

Effect of Metformin Intervention during Pregnancy on the Gestational Diabetes Mellitus in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

“…Boomsma et al [37] investigated that women with PCOS demonstrated a significantly higher risk of developing GDM (OR = 2.94), pregnancy-induced hypertension (OR = 3.67), and preeclampsia (OR = 3.47), and their babies had a significantly higher risk of admission to a neonatal intensive care unit (OR = 2.31) and a higher perinatal mortality (OR = 3.07). Thiebaugeorges et al [38] has included that the traditional therapy in pregnancy for GDM includes the use of diet and exercise and/or insulin injection. Meanwhile, several researchers have already demonstrated that the administration of metformin throughout pregnancy may decrease miscarriage and improve pregnancy outcomes including GDM, preeclampsia, and preterm delivery [34, 39–44].…”

Ultrasound‐guided compared to conventional treatment in gestational diabetes leads to improved birthweight but more insulin treatment: systematic review and meta‐analysis

“…Recently, three systematic reviews on this subject have been published . The first two concluded that the studies published so far are of relatively low statistical power.…”

Διερεύνηση Του Μεταβολισμού Των Υδατανθράκων Κατά Τη Διάρκεια Του Τοκετού Σε Γυναίκες Με Σακχαρώδη Διαβήτη Κατά Την Κύηση

“…1.6.2 Πξφσξνο ηνθεηφο ζε θπήζεηο επηπιεγκέλεο κε Γ Ζ πξνγελλεηηθή ρνξήγεζε θνξηηθνζηεξνεηδψλ δελ αληελδείθλπηαη ζε θπήζεηο επηπιεγκέλεο κε Γ. Χζηφζν, πξέπεη λα ζπλνδεχεηαη απφ επηζηακέλε παξαθνινχζεζε ησλ ζπγθεληξψζεσλ γιπθφδεο ηεο εγθχνπ. ε δηαβεηηθέο θπήζεηο ππφ ηλζνπιίλε απμάλεηαη ε δφζε ηεο ηλζνπιίλεο γηα κία έσο ηέζζεξηο εκέξεο (Mathiesen, 2002;Schumacher, 2006;Thiebaugeorges, 2010).…”

“…Ζ ηνθφιπζε γηα ηελ αλαζηνιή ηνπ πξφσξνπ ηνθεηνχ δελ αληελδείθλπηαη, αιιά ζα πξέπεη λα απνθεχγεηαη ε ρνξήγεζε βζπκπαζεηηθνκηκεηηθψλ παξαγφλησλ, ιφγσ ηνπ φηη έρεη απνδεηρζεί πσο απμάλνπλ ηηο ζπγθεληξψζεηο γιπθφδεο ζην πιάζκα (Rebarber, 2007;Waters, 2009;Thiebaugeorges, 2010). 1.6.3 Ζ ζπνπδαηφηεηα ηεο επγιπθαηκίαο θαηά ηε δηάξθεηα ηνπ ηνθεηνχ Παξφιν πνπ ε αλάγθε γηα λνξκνγιπθαηκία θαηά ηε δηάξθεηα ηεο θχεζεο έρεη ηεθκεξησζεί επαξθψο (Adashi, 1979;Skyler, 1980;Yang, 2002;Walkinshaw, 2005), ε ζπνπδαηφηεηα θαη ε αλάγθε γηα λνξκνγιπθαηκία θαηά ηε δηάξθεηα ηνπ ηνθεηνχ πξνθχπηεη κφλνλ απφ επηδεκηνινγηθέο κειέηεο (Obershain, 1985;Andersen, 1985;Carron Brown, 1999;Jovanovic, 2004).…”