Pregnancy and Pregestational Diabetes Mellitus

2015 ◽  
pp. 148-148
Author(s):  
Alaka Deshpande
Keyword(s):  
Diabetes Mellitus ◽  
Pregestational Diabetes

scholarly journals Can navigation and interpregnancy care improve outcomes in patients with pregestational diabetes mellitus (PGDM)?

2022 ◽  
Vol 226 (1) ◽  
pp. S647-S648
Author(s):  
Kaila Krishnamoorthy ◽  
Kimone Powell ◽  
Shauna F. Williams ◽  
Lisa Gittens-Williams ◽  
Joseph J. Apuzzio
Keyword(s):  
Diabetes Mellitus ◽  
Pregestational Diabetes

scholarly journals Effect of Different Insulin Therapies on Obstetric-Fetal Outcomes

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Cristina López-Tinoco ◽  
José Luis Jiménez-Blázquez ◽  
Laura Larrán-Escandón ◽  
María del Mar Roca-Rodríguez ◽  
Fernando Bugatto ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Infusion ◽  
Insulin Analogues ◽  
Fetal Outcomes ◽  
Pregestational Diabetes ◽  
Acting Insulin ◽  
Short Acting Insulin ◽  
Neutral Protamine Hagedorn ◽  
The Mean

AbstractTo evaluate the effectiveness of the different insulin therapies on obstetrics-fetal outcomes in women with pregestational diabetes mellitus. We enrolled 147 pregnant women with pre-existing type 1 or 2 diabetes mellitus. Clinical and biochemical parameters were analysed in relation to obstetric and fetal outcomes. 14.2% received treatment with Neutral Protamine Hagedorn insulin and short-acting insulin analogues; 19% with premixed human insulin; 40.1% with insulin glargine and lispro, 6.2% with detemir and aspart and 20% with continuous subcutaneous insulin infusion. All 5 types of treatment achieved a reduction of the mean HbA1c during pregnancy (p = 0.01). Pre-pregnancy care was carried out for 48% of patients. We found no statistically significant differences between the different insulin therapies and the obstetric-fetal outcomes. In conclusión, the different insulin therapies used in patients with pregestational diabetes mellitus does not seem to affect obstetric-fetal outcomes.

scholarly journals Maternal and Perinatal Outcome in Gestational Diabetes Mellitus Compared to Pregestational Diabetes Mellitus

2019 ◽  
Vol 9 (2) ◽  
pp. 127-132
Author(s):  
Faryal Mustary ◽  
TA Chowdhury ◽  
Ferdousi Begum ◽  
Nusrat Mahjabeen
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Perinatal Outcome ◽  
Birth Asphyxia ◽  
Adverse Outcomes ◽  
Intrauterine Death ◽  
Perinatal Complications ◽  
Pregestational Diabetes

Background: Diabetes mellitus is the most frequently encountered endocrine disorder in pregnancy and is associated with adverse outcomes if remain undiagnosed or untreated. This study was done to compare the maternal and perinatal outcome of pregestational diabetes mellitus (PGDM) with that of gestational diabetes (GDM). Methods: This observational analytical study with group comparison was carried out in the Department of Obstetrics and Gynaecology, BIRDEM General Hospital, Dhaka from July 2015 to June 2016. This study was conducted on two groups of pregnant women: group A (PGDM) and group B (GDM). A total of 100 cases were selected and in each group 50 pregnant women were enrolled. Singleton pregnancy and age 18 to 45 years were included. Pregnancy with hypertension, heart disease, renal disease and other metabolic disorders were excluded. Results: In this study mean gestational age of the study subjects were 35.72 ± 2.61 weeks and 36.58 ± 2.34 weeks in PGDM and GDM groups. History of GDM [34.0% vs 16.0%], intrauterine death (IUD) [14.0% vs 2.0%] and abortion [22.0% vas 6.0%] were significantly higher among PGDM patients than GDM patients. Regarding present pregnancy complications, polyhydramnios [32.0% vs 14.0%], preterm delivery [38.0% vs 20.0%], vulvovaginitis [28.0% vs 12.0%] and premature rupture of membrane (PROM) [24.0% vs 8.0%] were significantly higher in PGDM than GDM patients. Wound infection was significantly high in PGDM groups [35.7% vs 11.1%] among the patients delivered by lower uterine Cesarean section (LUCS). Regarding perinatal complications, hypoglycemia [22.0% vs 8.0%], birth asphyxia [24.0% vs 8.0%], RDS [24.0% vs 8.0%] were significantly higher among PGDM comparing GDM patients. Conclusion: The maternal and perinatal outcomes of pregestational diabetes mellitus were less favorable than those of gestational diabetes mellitus. Birdem Med J 2019; 9(2): 127-132

Risks of preeclampsia and adverse neonatal outcomes among women with pregestational diabetes mellitus

2000 ◽  
Vol 182 (2) ◽  
pp. 364-369 ◽  
Author(s):  
Baha M. Sibai ◽  
Steve Caritis ◽  
John Hauth ◽  
Marshall Lindheimer ◽  
J.Peter VanDorsten ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Neonatal Outcomes ◽  
Pregestational Diabetes ◽  
Adverse Neonatal Outcomes

Prior breastfeeding experience and infant feeding at discharge among women with pregestational diabetes mellitus

2020 ◽  
Vol 13 (4) ◽  
pp. 563-570 ◽  
Author(s):  
L. Cordero ◽  
M.R. Stenger ◽  
S.D. Blaney ◽  
M.M. Finneran ◽  
C.A. Nankervis
Keyword(s):  
Diabetes Mellitus ◽  
Infant Feeding ◽  
Mode Of Delivery ◽  
Feeding Preference ◽  
Pregestational Diabetes ◽  
First Feeding ◽  
Multiparous Women ◽  
Nicu Admission ◽  
Living Children ◽  
Exclusive Or

OBJECTIVE: To compare multiparous women with pregestational diabetes mellitus (PGDM) with and without prior breastfeeding (BF) experience and to ascertain their infants’ feeding type during hospitalization and at discharge. METHODS: A retrospective cohort study of 304 women with PGDM who delivered at ≥34 weeks gestational age (GA). Prior BF experience and infant feeding preference was declared prenatally. At discharge, BF was defined as exclusive or partial. RESULTS: BF experience and no experience groups were similar in diabetes type 1 and 2, race and number of pregnancies. Women with no experience had more spontaneous abortions (35 vs 27%), fewer term deliveries (51 vs 61%) and living children (median 1 vs 2). In the current pregnancy, mode of delivery: vaginal (36 & 37%), cesarean (64 & 63%), birthweight (3592 & 3515 g), GA (38 & 37 w), NICU admission (14 & 11%) and hypoglycemia (44 & 43%) were similar. Women with experience intended to BF (79 vs 46%), their infants’ first feeding was BF (64 vs 36%) and had lactation consults (96 vs 63%) more often than those without experience. At discharge, women with BF experience were different in rate of exclusive BF (33 vs 11%), partial BF (48 vs 25%) and formula feeding (19 vs 64%). CONCLUSION: Prior BF experience leads to better BF initiation rates while the absence of BF experience adds a risk for BF initiation failure. A detailed BF history could provide insight into obstacles that lead to unsuccessful BF experiences and may help define appropriate preventive or corrective strategies.

scholarly journals Gestational diabetes mellitus is as innocent as you think?

2018 ◽  
Vol 7 (9) ◽  
pp. 3526
Author(s):  
Gulsum Uysal ◽  
Mehmet Serdar Kutuk
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Systemic Disease ◽  
Insulin Dosage ◽  
Diabetic Patients ◽  
Pregestational Diabetes ◽  
Significant Difference ◽  
Doppler Indices

Background: We aimed to compare fetal outcomes, fetal hypoxia, acidemia and maternal chracteristics including hemoglobin A1c, doppler indices between gestational diabetes mellitus (GDM) and pregestational diabetes mellitus (DM) among pregnant women treated with insulin.Methods: Data of pregnant patients with diagnosis of pregestational diabetes (type 1 and 2) and GDM who were treated with insulin (GDM A2 in White classification) was retrospectively collected and compared. Patients with active chronic systemic disease, multiple pregnancies, lost to follow up and detected fetal malformations were exluded. Maternal characteristics, umbilical doppler indices and amnion fluid index, gestational age at delivery, delivery characteristics (including vaginal delivery, or cesarean section) and newborn characteristics such as birth weight, Apgar score and umblical cord pH were all recorded.Results: A total of 130 patients (67 patients with GDM and 63 pregestational DM) were recruited to the study. There were no significant difference regarding type of delivery, fetal birth weight, umbilical cord Hb and gestational birth age. No other significant difference in frequency of low Apgar scores and fetal acidosis or metabolic acidosis were reported. HbA1c and blood glucose levels and insulin dosage were significantly statistically higher in pregestational group.Conclusions: The frequency of fetal distress parameters and poor fetal outcome were similar between groups although pregestaional diabetic patients had higher HbA1c rates. Therefore, patients with GDM (A2) should be followed up as closely as pregestational (overt) diabetic patients.

Sign in / Sign up

Export Citation Format

Share Document