Perfil clínico de pacientes con diabetes gestacional e incidencia de complicaciones neonatales en un centro de referencia materno-fetal colombiano

Translated title of the contribution: Clinical profile of patients with gestational diabetes and incidence of neonatal complications in a Colombian maternal-fetal reference center

Lina Marcela Laverde Preciado, María Camila Peláez Domínguez, Jorge Luis Ferreira Morales, Karen Cano Calle, María Nazareth Campo Campo, Diana Paola Cuesta Castro

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Aim: To determine the clinical profile pregnant women with gestational diabetes and incidence of the neonatal complications. Methods: Descriptive analysis of a retrospective cohort of pregnant women with gestational diabetes (GD) according to HAPO and Carpenter-Coustan criteria and their children, under a high complexity obstetric service in Medellin, Colombia between 2012-2015. Descriptive measures of maternal and neonatal characteristics and incidence of neonatal complications are presented. Results: The study included 197 pregnant women and 203 neonates: 90.5 % of pregnancies were overweight or obese; the most frequent comorbidity was the hypertensive disorder associated with pregnancy in 22.8 %. The management of the DG was 99.0% nutritional, 37.1% insulin and 3.6 % metformin. The average gestational age at delivery was 37 weeks and 3 days; DG was the most frequent indication of induction of labor in 76 % (38/50); 56.4% were vaginal deliveries and 34.6 % were DG related caesarean sections, 11.3 % of newborns were large for gestational age (P > 90) and two newborns weighing > 4000 gr. The incidence of at least one neonatal complication was 27.6 %, 16.7 % had hyperbilirubinemia, 9.9 % respiratory distress syndrome (RDS), 3.0 % hypoglycemia, 10.8 % other complications and 12.3 % were admitted to the neonatal intensive care unit. Conclusions: DG is a frequent indication of induction of labor and indication of caesarean section. Neonatal complications occur in one of four newborns, although we observed a low incidence of macrosomia, there were other neonatal morbidities related to maternal diagnosis such as hyperbilirubinemia and RDS.

    Translated title of the contributionClinical profile of patients with gestational diabetes and incidence of neonatal complications in a Colombian maternal-fetal reference center
    Original languageSpanish
    Pages (from-to)210-220
    Number of pages11
    JournalRevista Chilena de Obstetricia y Ginecologia
    Volume85
    Issue number3
    DOIs
    StatePublished - Jun 2020

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    © 2020 Sociedad Chilena de Obstetricia y Ginecologia. All rights reserved.

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