02 April 2024 : Clinical Research
[In Press] The Influence of Gestational Diabetes Mellitus on Maternal and Neonatal Outcomes: A Retrospective Study in Rzeszów, Poland
Katarzyna Kalandyk-Osinko 12ABDEF, Joanna Baran 3CDEF, Rafał Baran 3CDEF, Kamil Gierek2BDF, Anna Juza 2BDE, Elżbieta Kraśnianin 3BDF, Sławomir Januszek 2BDF, Beata Blajer-Olszewska 2BCE, Tomasz Kluz 12ADF, Dorota Darmochwał-Kolarz 14ADEDOI: 10.12659/MSM.943644
Med Sci Monit In Press; DOI: 10.12659/MSM.943644
Available online: 2024-04-02, In Press, Corrected Proof
Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule
Abstract
BACKGROUND
Gestational diabetes mellitus (GDM) affects 5.8-12.9% of pregnant women, while pre-gestational diabetes mellitus (PGDM) affects 0.4-1.1%. GDM increases the risk of perinatal complications and long-term health issues. This retrospective study from a single centre in Rzeszów, Poland aimed to evaluate maternal and neonatal outcomes of pregnancy of 65 women with gestational diabetes mellitus.
MATERIAL AND METHODS
The study group consisted 65 women with GDM. The control group consisted 60 women without. GDM were diagnosed with carbohydrate metabolism disorders during pregnancy based on the results of the oral glucose tolerance test (OGTT). Methods of evaluation of the mothers: age, body mass before pregnancy, body height, body mass index (BMI), gravidity, parity, the number of miscarriages, length of stay (LOS) of mother, gestational weight gain (GWG), duration of pregnancy, type of delivery, treatment of diabetes. Methods of evaluation of the child: LOS, birth weight, Apgar points.
RESULTS
Women with diabetes stayed in hospital longer than women without, similarly applies the length of stay (LOS) of the child (p<0.001). It turned out that the women with GDM were significantly more likely to deliver by caesarean section (CS) (p=0.024) and these women most often had gestational weight gain (GWG) within the recommended range (p<0.001). Body mass index (BMI) before pregnancy was significantly higher in the women with GDM (p=0.023).
CONCLUSIONS
The above study confirms that the occurrence of GDM has an undoubted impact on prolonged LOS of the mother and child, more frequent CS delivery and normal GWG.
Keywords: Fetal Macrosomia; Gestational Diabetes Insipidus; Infant Health; Muscle Hypotonia
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