Pregnancy outcomes in women with strictly controlled type 1 diabetes mellitus

Çilingir, Işıl Gülizar Uzun

doi:10.4103/ijem.ijem_139_18

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Pre-gestational diabetes is associated with an increased risk of adverse maternal and fetal outcomes (51). Hypertension (52,53), preeclampsia (54)(55)(56), increased body mass index and obesity (57)(58)(59), blood sugar disorder (66), Seizure (59) ,emergency cesarean section (58,60,61), infections (69,59), post-partum hemorrhage (62) and death (63,64) increase in pregnant women with T1DM. Common problems in fetuses of mothers with T1DM include low birth weight (55,65), macrosomia (65,66) and shoulder dystocia (67), intrauterine growth restriction (68), congenital malformations (69)(70)(71), preterm labor (61,(72)(73)(74), icterus and death (53,67).…”

Section: Discussionmentioning

confidence: 99%

Development and Psychometric Evaluation of the Sexual and Reproductive Health Questionnaire for Women With Type 1 Diabetes Mellitus: A Study Protocol for a Sequential Exploratory Mixed-Methods Study

Azimi,

Ozgoli,

Ebadi

et al. 2022

Crescent J Med Biol Sci

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Objectives: Type 1 diabetes mellitus (T1DM) can profoundly influence different dimension of health such as sexual and reproductive health (SRH). The aim of this study is to develop and evaluate the psychometric properties of the Sexual and Reproductive Health Questionnaire for Women with Type 1 Diabetes Mellitus (SRHQ-WT1DM). Materials and Methods: This protocol for a sequential exploratory mixed-methods study has two phases. Conducting a literature review, the first phase of the study will develop the items of SRHQ-WT1DM. Data analysis in this phase will be performed using directed content analysis and according to the framework proposed by the United Nations Population Fund (UNFPA) and the World Health Organization (WHO) for SRH in women. The second phase will evaluate the psychometric properties of SRHQWT1DM through a methodological study. Face and content validity will be evaluated both qualitatively and quantitatively, and construct validity will be done by exploratory factor analysis and convergent validity. The questionnaire’s reliability and stability will be examined using internal consistency (by Cronbach’s alpha calculation) and test-retest method (by Intra class correlation coefficient calculation), respectively. Descriptive statistics, Pearson correlation coefficient, and independent t-test will also be used. Women with T1DM who are of childbearing age and have unknown mental disorders will be selected as participants in the study from the Iranian Diabetes Society. Discussion: Development and psychometric evaluation of a specific tool for SRH assessment in women will help identify and fulfill their SRH-related needs and improve dimensions of their SRH.

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Section: Discussionmentioning

confidence: 99%

Development and Psychometric Evaluation of the Sexual and Reproductive Health Questionnaire for Women With Type 1 Diabetes Mellitus: A Study Protocol for a Sequential Exploratory Mixed-Methods Study

Azimi,

Ozgoli,

Ebadi

et al. 2022

Crescent J Med Biol Sci

View full text Add to dashboard Cite

show abstract

“…These women will be at increased risk of developing type 1 or 2 diabetes after pregnancy; however, such risk can be minimized or postponed by providing them lifestylechanging guidelines [1]. Congenital malformations, IUGR (Intrauterine Growth Restriction), oligohydramnios and fetal death stand out among the consequences faced by pregnant women who were diagnosed with diabetes before pregnancy and who did not present proper blood glucose control [8,9].…”

Section: Introductionmentioning

confidence: 99%

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Ja¹,

Gqa²,

Pm³

et al. 2020

Asp Biomed Clin Case Rep

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Objective: Evaluating the association between gestational diabetes and fetal/maternal complications such as poor obstetric outcomes. Methods: Historical cohort comprising patients from the High-Risk Service of Federal University of Juiz de Fora (UFJF,) who were diagnosed with diabetes (exposed), as well as patients from the Low-Risk Service of UFJF (non-exposed). Data generated through anamnesis, physical examination and medical conduct, as well as data of newborns such as fetal weight, ICU admission and fetal/neonatal death), were collected and stored in the Epi Info software (version 6.0); p < 0.05. Results: 176 patients treated in the aforementioned services, 108 diabetic, and 68 non-diabetics, were investigated in the current study. In total, 92 (52.2%) of them were diagnosed with Gestational Diabetes Mellitus (GDM); 6 had DM type 1 (3.4%) and 10 had DM type 2 (5.6%). Therefore, 68 patients (38.6%) presented normal glucose metabolism. The mean age of the patients was 30.27 ± 6.77 years, the mean number of births was 1.06 ± 1.20. Macrosomia was diagnosed in 6.81% (n = 6) of the cases; it was associated with maternal glycemia (p < 0.05). D- and F-class pregnant women, who had been previously diagnosed with diabetes, presented lower fetal weight than other pregnant women (p = 0.03). Treatment was based on diet, insulin or metformin, whenever necessary. Fasting glycemia levels decreased throughout the gestational trimesters. Eighteen (10.2%) preterm fetuses were identified; 12 were born from diabetic mothers and 6 were born from non-diabetic ones (p = 0.01; X2 = 10.51). All infants hospitalized in the neonatal ICU (n = 10) were born from diabetic mothers; their mean gestational age was 36.28 + 2.9 weeks, whereas the mean gestational age of infants who were not hospitalized in the ICU was 38.31 ± 1.5 (p = 0.005; T = 12.58). Cesarean section was the most common way of delivery adopted for diabetic pregnant women (p = 0.04). Conclusion: Based on the results, gestational diabetes (GDM) is a predisposing factor to fetal macrosomia, prematurity, and hospitalization in neonatal ICUs. Pregnant women subjected to proper glycemic control in the current study presented lower complication rates in comparison to other studies in the literature.

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Diabetes mellitus as a risk factor for development retinopathy of prematurity. Review

Makogon,

Gorbacheva,

Khlopkova

2024

Diabetes mellitus

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Retinopathy of prematurity (ROP) is a complex and unresolved problem in pediatric ophthalmology, leading to visual disability. Low birth weight and prematurity are the main risk factors, and they form the basis of clinical recommendations for screening for ROP in all children under 35 weeks of gestational age and weighing less than 2000 g. However, many researchers point to other risk factors that can be divided into maternal, prenatal and perinatal. In this review, we consider maternal diabetes mellitus as a risk factor for ROP. Changes in the retina in premature infants and mothers with diabetes mellitus have some common features, since pathological angiogenesis occurs at the basis of these diseases. In addition, diabetes is a risk factor for preterm birth, and prematurity is a leading cause of neonatal morbidity, including the development of ROP. This suggests that maternal diabetes mellitus may have both direct and indirect effects on the development of ROP. To develop predictive models, an understanding of risk factors for ROP, the pathophysiology of retinal vascular diseases, and diseases of prematurity is necessary.

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Pregnancy outcomes in women with strictly controlled type 1 diabetes mellitus

Cited by 4 publications

References 11 publications

Development and Psychometric Evaluation of the Sexual and Reproductive Health Questionnaire for Women With Type 1 Diabetes Mellitus: A Study Protocol for a Sequential Exploratory Mixed-Methods Study

Development and Psychometric Evaluation of the Sexual and Reproductive Health Questionnaire for Women With Type 1 Diabetes Mellitus: A Study Protocol for a Sequential Exploratory Mixed-Methods Study

Gestational and Previous Diabetes in Pregnancy: Perinatal Results

Diabetes mellitus as a risk factor for development retinopathy of prematurity. Review

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