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Pregnancy outcome in gestational diabetes
Author(s) -
Fan Zitian,
Yang Huixia,
Gao Xuelian,
Lintu Hanna,
Sun Weijie
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.03.021
Subject(s) - medicine , gestational diabetes , obstetrics , pregnancy , outcome (game theory) , diabetes mellitus , gestation , endocrinology , genetics , biology , mathematics , mathematical economics
Objective : To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management, with special focus on concurrent GDM and pre‐eclampsia. Methods : A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome, glycemic control, concurrent pre‐eclampsia, and diabetic management were collected and analyzed. Results : The incidence of GDM was 3.8%. Of the affected women, 62.9% were managed with diet only and the remainder received insulin treatment. Overall, 80.7% had good glycemic control. Poor glycemic control and concurrent pre‐eclampsia correlated with maternal and neonatal complications. Conclusion : Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.