scholarly journals PERSISTÊNCIA HIPERGLICÊMICA NO PÓS PARTO

2021 ◽  
Vol 7 (7) ◽  
Author(s):  
Sersie Lessa Antunes Costa Almeida ◽  
Bruna Aurich Kunzendorff ◽  
Carolina de Paula Motté ◽  
Dara Campos de Oliveira ◽  
Fernanda Caetano Solano Oliveira ◽  
...  

Introdução: analisar a persistência de hiperglicemia no pós parto em pacientes com histórico de diabetes mellitus gestacional. Metodologia: Revisão sistemática no Pubmed e Scopus, usando ensaios clínicos randomizados, dos últimos 10 anos (Pubmed), 20 anos (Scopus) em inglês. Com descritores: Post partum period AND Diabetes mellitus, gestational AND Hyperglicemia e Diabetes AND Mellitus AND Gestation AND Puerperium AND Hyperglicemia. Resultados: Os estudos demonstraram a importância de se utilizar mais de um método diagnóstico para DMG. As medidas não farmacológicas de mudanças de estilo de vida se mostram suficientes na maioria das pacientes. Discussão: Outros estudos levantaram questões como a necessidade de utilização de mais de um teste para diagnosticar tais condições patológicas, níveis elevados de proteína C reativa, hiperglicemia gestacional, níveis elevados de triglicerídeos, fatores étnicos, histórico familiar, tratamento e ganho excessivo de peso, sendo alguns consoantes e outros dissonantes em relação aos resultados dos estudos selecionados pelo presente artigo. Conclusão: Faz-se necessário uma padronização de um diagnóstico eficaz e propostas de intervenção com melhor evolução para a paciente, além de realizar avaliação individual, nos quesitos ambientais étnicos, história pregressa do paciente e histórico familiar da doença, a fim de predizer as suas chances de cursar com doença gestacional.

2018 ◽  
Vol 1 (19) ◽  
pp. 22
Author(s):  
Iulia Filipescu ◽  
Mihai Berteanu ◽  
George Alexandru Filipescu ◽  
Radu Vlădăreanu

Onkologie ◽  
2010 ◽  
Vol 33 (8-9) ◽  
pp. 419-419 ◽  
Author(s):  
Olivier Mir ◽  
Paul Berveiller ◽  
Raphaël Serreau

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xi-Meng Wang ◽  
Yan Gao ◽  
Johan G. Eriksson ◽  
Weiqing Chen ◽  
Yap Seng Chong ◽  
...  

AbstractWe aimed to identify serum metabolites related to abnormal glucose metabolism (AGM) among women with gestational diabetes mellitus (GDM). The study recruited 50 women diagnosed with GDM during mid-late pregnancy and 50 non-GDM matchees in a Singapore birth cohort. At the 5-year post-partum follow-up, we applied an untargeted approach to investigate the profiles of serum metabolites among all participants. We first employed OPLS-DA and logistic regression to discriminate women with and without follow-up AGM, and then applied area under the curve (AUC) to assess the incremental indicative value of metabolic signatures on AGM. We identified 23 candidate metabolites that were associated with postpartum AGM among all participants. We then narrowed down to five metabolites [p-cresol sulfate, linoleic acid, glycocholic acid, lysoPC(16:1) and lysoPC(20:3)] specifically associating with both GDM and postpartum AGM. The combined metabolites in addition to traditional risks showed a higher indicative value in AUC (0.92–0.94 vs. 0.74 of traditional risks and 0.77 of baseline diagnostic biomarkers) and R2 (0.67–0.70 vs. 0.25 of traditional risks and 0.32 of baseline diagnostic biomarkers) in terms of AGM indication, compared with the traditional risks model and traditional risks and diagnostic biomarkers combined model. These metabolic signatures significantly increased the AUC value of AGM indication in addition to traditional risks, and might shed light on the pathophysiology underlying the transition from GDM to AGM.


2010 ◽  
Vol 118 (08) ◽  
pp. 485-489 ◽  
Author(s):  
G. Seghieri ◽  
F. Tesi ◽  
A. De Bellis ◽  
R. Anichini ◽  
G. Fabbri ◽  
...  

2018 ◽  
Vol 44 (6) ◽  
pp. 1169-1173 ◽  
Author(s):  
Hiroto Hirashima ◽  
Akihide Ohkuchi ◽  
Rie Usui ◽  
Shigeyoshi Kijima ◽  
Shigeki Matsubara

2003 ◽  
Vol 29 (1) ◽  
pp. 82-85 ◽  
Author(s):  
F Djrolo ◽  
N Gervaise ◽  
L Vaillant ◽  
P Yvon ◽  
P Lecomte

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Amruta A. Bamanikar ◽  
Shetal Shah ◽  
David Aboudi ◽  
Soumya Mikkilineni ◽  
Clare Giblin ◽  
...  

Abstract Objectives Maternal race, marital status, and social environment impact risk of preterm delivery and size for gestational age. Although some paternal characteristics such as age are associated with pregnancy outcomes, the influence of the paternal presence, race/ethnicity and adverse life events is not well known. The objective of the study was to assess birth outcomes in mothers with a paternal presence compared to those without during the post-partum period. The secondary aim was to determine whether paternal race is associated with birth outcomes. Methods This was a cross-sectional study using parental surveys linked with birth certificate data from 2016 to 2018. Adverse birth composite outcomes (ABCO) including small for gestational age (SGA), prematurity or neonatal intensive care unit admission (NICU) were assessed. Results A total of 695 parents were analyzed (239 single mothers and 228 mother-father pairs). Compared to mothers with a father present, mothers without a father present exhibited increased odds of ABCO, prematurity and NICU. Non-Hispanic Black fathers had increased odds of ABCO and NICU compared to Non-Hispanic Whites (NHW). Hispanic fathers had increased odds of NICU compared to NHW. Conclusions Paternal absence in the post-partum period and paternal race were both independently associated with ABCO and NICU. Assessment of paternal presence and paternal race in clinical practice may help identify opportunities for additional support necessary to optimize birth outcomes.


Sign in / Sign up

Export Citation Format

Share Document