Severe Diabetic Nephropathy in Type 1 Diabetes and Pregnancy - A Case Series

Piccoli, Giorgina Barbara; Tavassoli, Elisabetta; Melluzza, Carmela; Grassi, Giorgio; Monzeglio, C; Donvito, Valentina; Leone, Filomena; Attini, Rossella; Ghiotto, Sara; Clari, Roberta; Moro, Irene; Fassio, Federica; Parisi, Silvia; Pilloni, Eleonora; Vigotti, Federica Neve; Giuffrida, Domenica; Rolfo, Alessandro; Todros, Tullia

doi:10.1900/rds.2013.10.68

Cited by 17 publications

(23 citation statements)

References 33 publications

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“…The preterm birth rate was similar [4,5,7,[12][13][14] or somewhat higher [6,[8][9][10][11] than in previous studies. Most of the preterm births are explained by the high rate of preeclampsia, which typically necessitates preterm delivery.…”

Section: Discussionmentioning

confidence: 52%

“…Taking into account the poor success rate of vaginal deliveries in this patient group, and the maternal and fetal risks related to emergency CS deliveries, our data suggests that elective CS might be preferred for patients with diabetic nephropathy. High CS rates (70-91%) have been recorded also in other centres among patients with diabetic nephropathy [4][5][6][7][8][9][10][11]14].…”

Section: Discussionmentioning

confidence: 99%

“…Diabetic nephropathy, which complicates 2.5-5% of type 1 diabetes pregnancies [3,4], is associated with a particularly high risk of hypertensive disorders of pregnancy, preterm birth, intrauterine growth restriction and perinatal mortality [4][5][6][7][8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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Obstetric and perinatal outcome in type 1 diabetes patients with diabetic nephropathy during 1988–2011

et al. 2015

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Aims/hypothesis Our aim was to analyse possible changes in the glycaemic control, BP, markers of renal function, and obstetric and perinatal outcomes of parturients with diabetic nephropathy during 1988-2011. Methods The most recent childbirth of 108 consecutive type 1 diabetes patients with diabetic nephropathy and a singleton pregnancy were studied. Two periods, 1988Two periods, -1999Two periods, and 2000Two periods, -2011 . Antihypertensive medication usage increased before pregnancy (34% vs 65%, p=0.002) and in the second and third trimesters of pregnancy (25% vs 47%, p=0.02, and 36% vs 60%, p =0.01, respectively). BP exceeded 130/ 80 mmHg in 62% and 61% (p=0.87) of patients in the first trimester, and in 95% and 93% (p=0.69) in the third trimester, respectively. No changes were observed in the markers of renal function. Pre-eclampsia (52% vs 42%, p=0.29) and preterm birth rates before 32 and 37 gestational weeks (14% vs 21%, p=0.33, and 71% vs 77%, p=0.49, respectively) remained high. The elective and emergency Caesarean section rates were 71% and 45% (p=0.01) and 29% and 48% (p= 0.05), respectively. Neonatal intensive care unit admissions increased from 26% to 49% (p=0.02). Conclusions/interpretation Early pregnancy glycaemic control and hypertension management were suboptimal in both time periods. Pre-eclampsia and preterm delivery rates remained high in patients with diabetic nephropathy.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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Obstetric and perinatal outcome in type 1 diabetes patients with diabetic nephropathy during 1988–2011

et al. 2015

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“…Piccolli та співавт. [8] у всіх випадках тяжкої діа-бетичної нефропатії було діагностовано також ретино-патію.…”

Section: результати дослідженняunclassified

Прогнозування Ризику Розвитку Прееклампсії У Вагітних Із Цукровим Діабетом 1-Го Типу Та Супутньою Діабетичною Нефропатією: Роль Генетичних Факторів

Авраменко

Hrybanov

Rossokha

2021

Mìžnarodnij endokrinologìčnij žurnal

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ВступЦукровий діабет (ЦД) все ще залишається най-більш значущою екстрагенітальною патологією в аку-шерській практиці та характеризується 2-4-кратним збільшенням ризику багатьох ускладнень (гестаційна гіпертензія, прееклампсія, передчасні пологи), знач-но вищими показниками перинатальної смертності порівняно із загальною популяцією вагітних жінок [2]. Протягом багатьох років вагітність у жінок із діабетич-ною нефропатією розглядалась як ще більш ризикова-на, оскільки асоціювалась із можливістю прогресуючо-го зниження функціонального стану нирок, швидкого розвитку термінальних стадій ниркової недостатності та, як наслідок, високими показниками материнської смертності.Адреси для листування з авторами: Авраменко Тетяна Василівна

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“…Patients presenting Patients should be advised that advanced kidney disease significantly increases the risk of complications during pregnancy, including preeclampsia and premature birth. Moreover, the risk correlates with the stage of kidney disease; there are also studies describing the progression of kidney disease during pregnancy [7][8][9].…”

Section: Evaluation Of Kidney Functionmentioning

confidence: 99%

Standards of Polish Society of Gynecologists and Obstetricians in management of women with diabetes

et al. 2018

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Severe Diabetic Nephropathy in Type 1 Diabetes and Pregnancy - A Case Series

Cited by 17 publications

References 33 publications

Obstetric and perinatal outcome in type 1 diabetes patients with diabetic nephropathy during 1988–2011

Obstetric and perinatal outcome in type 1 diabetes patients with diabetic nephropathy during 1988–2011

Прогнозування Ризику Розвитку Прееклампсії У Вагітних Із Цукровим Діабетом 1-Го Типу Та Супутньою Діабетичною Нефропатією: Роль Генетичних Факторів

Standards of Polish Society of Gynecologists and Obstetricians in management of women with diabetes

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