TRANSITION TO A NEW LEVEL OF MANAGEMENT OF HYPERTENSIVE AND METABOLIC COMPLICATIONS IN PREGNANCY: CURRENT DIAGNOSTIC CRITERIA FOR GESTATIONAL DIABETES MELLITUS


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Abstract

The paper formulates a new pregnancy management concept that envisages the need for primary prevention of gestational hypertensive and metabolic disorders. Hypertension during pregnancy is one of the major causes of maternal death and neonatal losses and it is associated with a poor long-term cardiovascular prognosis. Fat and carbohydrate metabolic disturbances also deteriorate the course of pregnancy, labor, and delivery and gives rise to fetal hypoxia, macrosomia, fetopathy, as well as obesity and diabetes mellitus (DM) in further years of a woman’s life. At the same time, the prevalence of gestational DM (GDM) is increasing all over the world. In 2012, Russia has adopted the national consensus on gestational diabetes mellitus: diagnosis, management, and postpartum follow-up, which is the generally accepted opinion of the experts of the Russian Association of Endocrinologists and those of the Russian Society of Obstetricians/Gynecologists about diagnostic criteria for GDM and other carbohydrate metabolic disturbances during pregnancy. The basic provisions of the national GDM consensus are given in the paper; strict compliance with its recommendations will be able to prevent many maternal and fetal complications.

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About the authors

G. T SUKHIKH

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: g_sukhikh@oparina4.ru

V. I KRASNOPOLSKY

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: guzmoniiag@gmail.com

N. K RUNIKHINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: runishi@rambler.ru

O. N TKACHEVA

State Research Center for Preventive Medicine, Ministry of Health Russia

Email: tkacheva@rambler.ru

Z. S KHODZHAEVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: z_khodzhaeva@oparina4.ru

V. A PETRUKHIN

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: 1akmoniiag@mail.ru

M. V SHESTAKOVA

Institute of Diabetes, Endocrinology Research Center

Email: nephro@endocrincentr.ru

F. F BURUMKULOVA

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: fatima-burumkulova@yandex.ru

R. M ESAYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: roszaes@mail.ru

O. I KOLEGAEVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: o_kolegaeva@oparina4.ru

N. V SHARASHKINA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: n_sharashkina@oparina4.ru

T. V KIRSANOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: t_kirsanova@oparina4.ru

L. V KOSHEL

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: l_koshel@oparina4.ru

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