Assessment of quality of life, psycho-emotional state, eating behavior, obstetric and perinatal outcomes in pregnant women with early and late gestational diabetes mellitus

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Objective: To evaluate anamnestic data, quality of life, psycho-emotional state, eating behavior, obstetric and perinatal outcomes in women with early and late gestational diabetes mellitus (GDM).

Materials and methods: We conducted a study that included 144 women with GDM. 86 out of these women were included in group 1 with early GDM that was detected before 24 weeks of pregnancy, and group 2 comprised 68 women with late GDM detected after 24 weeks. The questionnaires Short Form 36 (SF-36), Well-being-Activity-Mood (WAM), Hospital Anxiety and Depression Scale (HADS) and the Dutch eating behavior questionnaire (DEBQ) were used. The course of pregnancy and perinatal outcomes were evaluated.

Results: Women with GDM that was detected in early pregnancy were characterized by decreased indicators of vital activity, social functioning, mental and psychological health, well-being and mood, high indicators of subclinical anxiety and subclinical depression. Women with GDM that was detected in early pregnancy were characterized by frequent mental distress (RR 3.36; 95% CI 1.67–6.78; p<0.001), miscarriages inherited from their mothers (RR 9.49; 95% CI 1.26–71.18; p=0.03), arterial hypertension during previous pregnancy (RR 5.14; 95% CI 1.20–22.01; p=0.03), recurrent miscarriage in medical history (RR 8.69; 95% CI 1.15–65.72; p=0.04), intake of methylprednisolone (RR 9.49; 95% CI 1.26–71.18; p=0.03), tranexamic acid (RR 9.49; 95% CI 2.32–38.75; p=0.002), sodium ethamsylate (RR 5.53; 95% 1.30–23.53; p=0.02), threatened early miscarriage (RR 13.84; 95% CI 3.45–55.50; p<0.001), threatened late miscarriage (RR 4.47; 95% CI 1.02–15.70; p=0.04), placental insufficiency (RR 4.47; 95% CI 1.61–12.44; p=0.004), premature birth (RR 3.89; 95% CI 1.37–11.03; p=0.01). The patients with GDM that was detected in later terms of pregnancy were characterized by more frequent presence of type 1 diabetes mellitus in first-degree relatives (RR 0.05; 95% CI 0.003–0.79; p=0.03), and in second-degree relatives (RR 0.13; 95% CI 0.03–0.56; p=0.01), late menarche (12.6 (1.3) and 13.4 (1.3); p=0.01), frequent dysmenorrhea (RR 0.47; 95% CI 0.36–0.62; p<0.001).

Conclusion: Women with early GDM were characterized by frequent mental distress, miscarriages inherited from their mothers, arterial hypertension during previous pregnancy, recurrent miscarriage in medical history, intake of methylprednisolone, tranexamic acid and ethamsylate, threatened early and late miscarriages, placental insufficiency, premature birth. Women with late GDM were characterized by the frequent presence of type 1 diabetes mellitus in first-degree and second-degree relatives, late menarche, dysmenorrhea in anamnesis.

全文:

受限制的访问

作者简介

Natalia Batrak

Ivanovo State Medical Academy, Ministry of Health of Russia

编辑信件的主要联系方式.
Email: batrakn@inbox.ru
ORCID iD: 0000-0002-5230-9961

PhD, Associate Professor at the Department of Obstetrics and Gynecology, Medical Genetics

俄罗斯联邦, Ivanovo

Anna Malyshkina

Ivanovo State Medical Academy, Ministry of Health of Russia; Ivanovo Research Institute of Maternity and Childhood named after V.N. Gorodkov, Ministry of Health of Russia

Email: ivniimid@inbox.ru
ORCID iD: 0000-0002-1145-0563

Dr. Med. Sci., Professor, Director; Head of the Department of Obstetrics and Gynecology, Medical Genetics

俄罗斯联邦, Ivanovo; Ivanovo

Alina Tkachenko

Ivanovo State Medical Academy, Ministry of Health of Russia

Email: alina.tkachenkoisma@mail.ru

5th year student of the Faculty of Medicine

俄罗斯联邦, Ivanovo

参考

  1. Miroshnik E.V., Ryumina I.I., Zubkov V.V. Impact of maternal diabetes mellitus on neonatal health. Obstetrics and Gynecology. 2016; (9): 45-9. (in Russian). https://dx.doi.org/10.18565/aig.2016.9.45-9.
  2. Radzinsky V.E., Papysheva O.V., Esipova L.N., Startseva N.M., Kotaish G.A. Features of medical care for gestational diabetes mellitus (in case of a specialized obstetric hospital). Obstetrics and Gynecology. 2018; (2): 108-14. (in Russian). https://dx.doi.org/10.18565/aig.2018.2.108-114.
  3. Sukhikh G.T., Hod M. Towards a European сonsensus on пestational diabetes mellitus. A pragmatic guide for diagnosis, management, and care. Obstetrics and Gynecology. 2017; (4): 5-12. (in Russian). https://dx.doi.org/10.18565/aig.2017.4.5-12.
  4. Aksenov A.N., Bocharova I.I., Bashakin N.F., Troickaja M.V., Jakubina A.A., Bukina M.Ju., Burumkulova F.F., Gur'eva V.M. Features of early postnatal adaptation and management of newborns born to mothers with gestational diabetes mellitus. Russian Bulletin of 0bstetrician-Gynecologist. 2015; 15(4): 75-80. (in Russian). https://dx.doi.org/10.17116/rosakush201515475-80.
  5. Lysenko S.N., Chechneva M.A., Petruhin V.A., Burumkulova F.F, Ermakova L.B. Ultrasound diagnosis of diabetic fetopathy. Russian Bulletin of Obstetrician-Gynecologist. 2016; 16(3): 23-30. (in Russian). https://dx.doi.org/10.17116/rosakush201616323-30.
  6. Lysenko S.N., Chechneva M.A., Petruhin V.A., Burumkulova F.F. Assessment of the severity of diabetic fetopathy. Russian Bulletin of Obstetrician-Gynecologist. 2020; 20(1): 61-7. (in Russian). https://dx.doi.org/10.17116/rosakush20202001161.
  7. Chiefari E., Arcidiacono B., Foti D., Brunetti A. Gestational diabetes mellitus: an updated overview. J. Endocrinol. Invest. 2017; 40(9): 899-909. https://dx.doi.org/10.1007/s40618-016-0607-5.
  8. Plehanova M.A., Burumkulova F.F., Petruhin V.A., Ovchinnikova V.V. Risk factors for the development of newly diagnosed hyperglycemia during pregnancy. Russian Bulletin of Obstetrician-Gynecologist. 2022; 22(1): 74-80. (in Russian). https://dx.doi.org/10.17116/rosakush20222201174.
  9. Zhang С., Rawal S., Chong Y.S. Risk factors for gestational diabetes: is prevention possible? Diabetologia. 2016; 59(7): 1385-90. https://dx.doi.org/10.1007/s00125-016-3979-3.
  10. Zhang C., Sundaram R., Maisog J., Calafat A.M., Barr D.B., Buck Louis G.M. A prospective study of prepregnancy serum concentrations of perfluorochemicals and the risk of gestational diabetes. Fertil. Steril. 2015; 103: 184-9. https://dx.doi.org/10.1016/j.fertnstert.2014.10.001.
  11. Garduño-Alanis A., Torres-Mejía G., Nava-Díaz P., Herrera-Villalobos J., Díaz-Arizmendi D., Mendieta-Zerón H. Association between a medical nutrition therapy program and eating behavior with gestational weight gain in women with diabetes. J. Matern. Fetal Neonatal Med. 2020; 33(24): 4049-54. https://dx.doi.org/10.1080/14767058.2019.1594764.
  12. Bao W., Tobias D.K., Hu F.B., Chavarro J.E., Zhang C. Pre-pregnancy potato consumption and risk of gestational diabetes mellitus: prospective cohort study. BMJ. 2016; 352: h6898. https://dx.doi.org/10.1136/bmj.h6898.
  13. Mijatovic-Vukas J., Capling L., Cheng S., Stamatakis E., Louie J., Cheung N.W. et al. Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients. 2018; 10(6): 698. https://dx.doi.org/10.3390/nu10060698.
  14. Marchetti D., Carrozzino D., Fraticelli F., Fulcheri M., Vitacolonna E. Quality of life in women with gestational diabetes mellitus: a systematic review. J. Diabetes Res. 2017; 2017: 7058082. https://dx.doi.org/10.1155/2017/7058082.
  15. Pantzartzis K.A., Manolopoulos P.P., Paschou S.A., Kazakos K., Kotsa K., Goulis D.G. Gestational diabetes mellitus and quality of life during the third trimester of pregnancy. Qual. Life Res. 2019; 28(5): 1349-54. https://dx.doi.org/10.1007/s11136-018-2090-2.
  16. Ghasemi F., Vakilian K., Khalajinia Z. Comparing the effect of individual counseling with counseling on social application on self-care and quality of life of women with gestational diabetes. Prim. Care Diabetes. 2021; 15(5): 842-7. https://dx.doi.org/10.1016/j.pcd.2021.05.009.
  17. Long Q., Guo J., Zhong Q., Jiang S., Wiley J., Chen J.L. General self-efficacy and social support as mediators of the association between perceived stress and quality of life among rural women with previous gestational diabetes mellitus. J. Clin. Nurs. 2021; 30(7-8): 1026-36. https://dx.doi.org/10.1111/jocn.15648.
  18. Ansarzadeh S., Salehi L., Mahmoodi Z., Mohammadbeigi A. Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model. Health Qual. Life Outcomes. 2020; 18(1): 31. https://dx.doi.org/10.1186/s12955-020-01293-4.
  19. Ходжаева З.С., Снеткова Н.В., Клименченко Н.И., Абрамова М. Е., Дегтярева Е.И., Донников А.Е. Клинико-молекулярно-генетические детерминанты формирования гестационного сахарного диабета. Акушерство и гинекология. 2019; 4: 18-24. https://dx.doi.org/10.18565/aig.2019.4.18-24.
  20. Абрамова М.Е., Ходжаева З.С., Горина К.А., Муминова К.Т., Горюнов К.В., Рагозин А.К., Силачев Д.Н. Гестационный сахарный диабет: скрининг и диагностические критерии в ранние сроки беременности. Акушерство и гинекология. 2021; 5: 25-32. https://dx.doi.org/10.18565/aig.2021.5.25-32.
  21. Khodzhaeva Z.S., Abramova M.E., Muminova K.M., Gorina K.A., Frolova E.R., Goryunov K.V., Silachev D.N., Shevtsova Yu.A. The role of plasma extracellular vesicles as predictors of gestational diabetes mellitus in the first trimester of pregnancy. Obstetrics and Gynecology. 2022; (4): 76-83. (in Russian). https://dx.doi.org/10.18565/aig.2022.4.76-83.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Bionika Media, 2023