Course of pregnancy and childbirth in comorbid patients with gestational diabetes mellitus

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AIM: This study aimed to assess the course of pregnancy and childbirth in comorbid patients with gestational diabetes mellitus (GDM).

MATERIALS AND METHODS: This retrospective analysis enrolled 168 individual cards of pregnant women and women in labor with GDM between 2018 and 2020.

RESULTS: Analysis of the comorbid background of pregnant women revealed the presence of overweight and obesity in 48.2% of patients. Thus, these conditions were attributed as determinants in the development of GDM. In 58.7% patients, delivery was performed by cesarean section; however, in 11.3% of pregnant women, surgical delivery was performed for the first time; the main indication for it was a large fetus.

CONCLUSION: Comorbid background in pregnant women contributes to GDM development, which causes a high percentage of obstetric complications and diabetic fetopathy. The risk strategy for this pathology involves predicting complications using continuous outpatient observation, timely treatment, and hospitalization in accordance with the degree of risk.

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作者简介

Nikolai Zharkin

Volgograd State Medical University

编辑信件的主要联系方式.
Email: zharkin55@mail.ru
ORCID iD: 0000-0002-8094-0427
Scopus 作者 ID: 6602293084
Researcher ID: B-2794-2017

M.D., Dr. Sci. (Med.), professor, Head of the Department of obstetrics and gynecology

俄罗斯联邦, 400131, Volgograd

Kseniya Zabolotneva

Volgograd State Medical University

Email: kselofon@yandex.ru
ORCID iD: 0000-0002-7802-469X

MD, Cand. Sci. (Med.), assistant professor

俄罗斯联邦, 400131, Volgograd

参考

  1. Savel’eva GM, Sukhikh GT, Serov VN, Radzinskii VE, eds. Midwifery. National leadership. 2nd edition. Moscow: GEHOTAR-Media; 2019. 1080 p. (In Russ).
  2. Russian Association of Endocrinologists, Russian Society of Obstetricians and Gynecologists. Gestational diabetes mellitus. Diagnosis, treatment, obstetric tactics, postpartum observation. Clinical recommendations. 2020. 53 p. (In Russ).
  3. Dedov II, Krasnopol’skii VI, Sukhikh GT, on behalf of research group. Russian National Consensus Statement on gestational diabetes: diagnosis, treatment and postnatal care. Sakharnyi diabet. 2012;(4):4–10. (In Russ).
  4. International Diabetes Federation. Diabetes. Atlas. 9th edition. Brussels, Belgium: International Diabetes Federation; 2019.
  5. Gvozdev AA, Korol’kova AA. Development factors and prediction of gestational diabetes mellitus. Bulletin of Russian State Medical University. 2014;(2):8. (In Russ).
  6. Scholtens DM, Kuang A, Lowe LP, et al.; HAPO Follow-Up Study Cooperative Research Group. Hyperglycemia and adverse pregnancy outcome follow-up study (HAPO FUS): maternal gestational diabetes mellitus and childhood glucose metabolism. Diabetes Care. 2019;42(3):381–392. doi: 10.2337/dc18-2021
  7. HAPO Study Cooperative Research Group; Metzger BE, Lowe LP, Dyer AR, et al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358(19):1991–2002. doi: 10.1056/NEJMoa0707943
  8. Sebko TV, Dobrokhotova YuEh, Ivanova TA, et al. Genetic markers of insulin resistance in gestational diabetes mellitus. Diabetes Mellitus. 2009;(4):38–41. (In Russ).
  9. Demidova TYu, Ushanova FO. Pathophysiological aspects of the development of gestational diabetes mellitus. Russian Medical Journal. Russian Medical Inquiry. 2019;3(10-2):86–91. (In Russ).
  10. Zhang C, Bao W, Rong Y, et al. Genetic variants and the risk of gestational diabetes mellitus: a systematic review. Hum Reprod Update. 2013;19(4):376–390. doi: 10.1093/humupd/dmt013
  11. Lysenko SN, Chechneva MA, Petrukhin VA, Burumkulova FF. Ultrasound diagnosis of diabetic fetopathy. Doktor.Ru. 2019;(7):19–23. doi: 10.31550/1727-2378-2019-162-7-19-23
  12. Chen D, Xia G, Xu P, Dong M. Peripartum serum leptin and soluble leptin receptor levels in women with gestational diabetes. Acta Obstet Gynecol Scand. 2010;(89):1595–1599. doi: 10.3109/00016349.2010.514040

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2. Fig. 1. Distribution of pregnant women with gestational diabetes mellitus by age

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3. Fig. 2. Extragenital pathology in pregnant women with gestational diabetes mellitus.

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4. Fig. 3. Distribution of pregnant women with gestational diabetes mellitus by body mass index.

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5. Fig. 4. Terms of delivery of pregnant women with gestational diabetes mellitus.

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6. Fig. 5. Complications in childbirth in pregnant women with gestational diabetes mellitus.

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