scholarly journals Complicações e doenças pré-existentes em gestantes com diabetes mellitus

2019 ◽  
Vol 13 (5) ◽  
pp. 1202
Author(s):  
Alexandre Lins Werneck ◽  
Isadora Salani De Queiros ◽  
Daniela Comelis Bertolin
Keyword(s):  
Diabetes Mellitus ◽  
Hepatitis C ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Arterial Hypertension ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Risk Pregnancy

RESUMO:Objetivo: descrever as principais complicações e doenças pré-existentes em gestantes com Diabetes Mellitus Gestacional. Método: trata-se de estudo quantitativo, analítico, transversal. Compôs-se a amostra do estudo por 591 prontuários de gestantes, sendo 47 com DMG e 544 sem DMG. Realizou-se a coleta de dados em prontuários de um hospital e maternidade. Utilizou-se um instrumento para a coleta dos dados das pacientes. Analisaram-se os dados por meio de estatística descritiva em sua predominância e apresentaram-se os resultados em forma de tabelas. Resultados: selecionaram-se 47 prontuários de gestantes com Diabetes Mellitus Gestacional. Mostrou-se, que 38,71% tinham hipertensão arterial como doença já existente e 10,07% tinham dor em baixo ventre como principal complicação. Conclusão: observou-se que as principais complicações na amostra de gestantes com Diabetes Mellitus Gestacional são dor em baixo ventre, doença hipertensiva específica da gravidez, leucorreia, cefaleia, infecção do trato urinário e dispneia; em relação às doenças já existentes, a hipertensão arterial foi a doença que mais prevaleceu nas gestantes antes mesmo da gestação, seguida de tabagismo, hipotireoidismo, asma e hepatite C. Descritores: Diabetes Gestacional; Doenças; Gravidez de Alto Risco; Gestantes; Complicações na Gravidez; Enfermagem; Diabetes Mellitus.ABSTRACT Objective: to describe the main complications and preexisting diseases in pregnant women with Gestational Diabetes Mellitus. Method: this is a quantitative, analytical, cross-sectional study. The study sample was composed of 591 records of pregnant women, 47 of whom had GDM and 544 without GDM. Data were collected in medical records of a hospital and maternity hospital. An instrument was used to collect patient data. The data were analyzed by means of descriptive statistics in their predominance and the results were presented in the form of tables. Results: 47 charts of pregnant women with Gestational Diabetes Mellitus were selected. It was shown that 38.71% had arterial hypertension as an existing disease and 10.07% had lower belly pain as the main complication. Conclusion: it was observed that the main complications in the sample of pregnant women with Gestational Diabetes Mellitus are low belly pain, pregnancy-specific hypertensive disease, leukorrhea, headache, urinary tract infection and dyspnea; in relation to existing diseases, arterial hypertension was the most prevalent disease in pregnant women even before pregnancy, followed by smoking, hypothyroidism, asthma and hepatitis C. Descriptors: Gestational Diabetes; Diseases; High Risk Pregnancy; Pregnant women; Pregnancy Complications; Nursing; Diabetes Mellitus.RESUMEN Objetivo: describir las principales complicaciones y enfermedades preexistentes en mujeres embarazadas con Diabetes Mellitus Gestacional. Método: se trata de un estudio cuantitativo, analítico, transversal. Se compuso la muestra del estudio por 591 prontuarios de gestantes, siendo 47 con DMG y 544 sin DMG. Se realizó la recolección de datos en prontuarios de un hospital y maternidad. Se utilizó un instrumento para la recolección de los datos de las pacientes. Se analizaron los datos por medio de estadística descriptiva en su predominancia y se presentaron los resultados en forma de tablas. Resultados: se seleccionaron 47 prontuarios de gestantes con Diabetes Mellitus Gestacional. Se mostró, que el 38,71% tenía hipertensión arterial como enfermedad ya existente y el 10,07% tenían dolor en el vientre como principal complicación. Conclusión: se observó que las principales complicaciones en la muestra de gestantes con Diabetes Mellitus Gestacional son dolor en bajo vientre, enfermedad hipertensiva específica del embarazo, leucorrea, cefalea, infección del tracto urinario y disnea; en relación a las enfermedades ya existentes, la hipertensión arterial fue la enfermedad que más prevaleció en las gestantes antes de la gestación, seguida de tabaquismo, hipotiroidismo, asma y hepatitis C. Descriptores: Diabetes Gestacional; Embarazo de Alto Riesgo; Mujeres Embarazadas; Complicaciones del Embarazo; Nursing; Diabetes Mellitus.

Association of Maternal Serum Zinc, Copper and Magnesium Levels, Pre-pregnancy Body Mass Index and Gestational Weight Gain Patterns With the Risk of Gestational Diabetes Mellitus Among Third-trimester Pregnant Women: a Cross-sectional Study

2021 ◽  
Author(s):  
Masoomeh Gholizadeh ◽  
Tohid Rouzitalab ◽  
Saeid Ghavamzadeh ◽  
Elnaz Daneshzad
Keyword(s):  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Serum Zinc ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gestational Weight

Abstract Background: This study sought to evaluate the association between selected micronutrients (zinc, copper, and magnesium), pre-pregnancy BMI, and weight gain during pregnancy with the risk of gestational diabetes mellitus third-trimester pregnant women Urmia, Iran. Methods: This analytic cross-sectional study included 400 pregnant women. The nutritional, demographic, clinical data, and fasting blood samples (selected micronutrients and blood glucose) were evaluated. The data were analyzed using chi-square, independent t-test, and logistic regression tests. Results: The prevalence of gestational diabetes mellitus (GDM) was 18%. The OR for GDM was (OR: 0.329; 95% CI: 0.156-0.696) in normal-weight compared to mothers who were obese before pregnancy. Normal serum zinc concentration was associated with 0.413-fold lower rates of developing GDM (95% CI: 0.227-0.750). Magnesium supplementation was inversely associated with the risk of GDM (OR: 0.986; 95% CI: 0.979-0.994). Inadequate and excessive gestational weight gain was significantly associated with developing GDM in lean and obese women before pregnancy, respectively (p=0.01, p=0.003). Conclusions: Gestational diabetes is highly prevalent in Urmia, and it is likely related to excessive serum zinc concentrations, elevated pre-pregnancy BMI, and gestational weight gain.

scholarly journals FREQUENCY OF PRE-GESTATIONAL DIABETES MELLITUS AMONG PREGNANT WOMEN WITH MISCARRIAGE

2019 ◽  
Vol 17 (1) ◽  
pp. 15-18
Author(s):  
Maria Ghafoor ◽  
Najma Farhat ◽  
Firdous Khatoon ◽  
Asifa Ghazi ◽  
Fauzia Anbreen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Gestational Age ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gynecology And Obstetrics

Background: In developing countries, miscarriage is one of the common and increasing problems of pregnancy. The objectives of this study were to determine the frequency of pre-gestational diabetes mellitus among pregnant women with miscarriage in our population. Materials & Methods: This descriptive, cross-sectional study was conducted in the Department of Gynecology and Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 3rd November 2015 to 2nd May 2016. Sample size was 268 pregnant women with miscarriage selected through consecutive sampling technique. Inclusion criteria were all pregnant women with miscarriage. Exclusion criteria were molar pregnancy, ectopic pregnancy and diabetics. HbA1c levels of ≤6% was taken as normal, whereas a level >6 was taken as raised level or pre-gestational diabetes. Variables were age, pre-gestational diabetes mellitus, number of pregnancies and duration of pregnancy (≤24, >24). Mean and SD were calculated for quantitative while frequency and percentages for qualitative variables. Descriptive analysis was performed by using SPSS version 16. Results: Mean age of the patients was 27.66 ±4.93 years. Out of 268 participants, 81(30.22%) were having pre-gestational diabetes mellitus and 187(69.78) were normal, 234(87.31%) were having first pregnancy whereas 34 were having >1 pregnancies, the pre-gestational age ≤ 24 weeks were 130(48.51%) and >24 weeks were 138(51.49%). Conclusion: One third of the patients with miscarriage were having pre-gestational diabetes mellitus. Almost half of the patients were having gestational age of

scholarly journals Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth Byakwaga ◽  
Musa Sekikubo ◽  
Annettee Nakimuli
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
National Referral Hospital

Abstract Background The burden of Gestational diabetes mellitus (GDM) is significantly increasing worldwide and the disorder causes substantial short term and long-term adverse effects both to the mother and the unborn baby. Public health measures to increase awareness of GDM among pregnant women may aid in prevention of the disease through life style modification, screening, early diagnosis and management but very few studies have assessed awareness of GDM among pregnant women in sub Saharan Africa and none of these are from Uganda. This study therefore sought to evaluate the level of and factors associated with awareness of GDM among pregnant women attending antenatal care at Kawempe National Referral Hospital (KNRH), the busiest obstetric unit in Uganda, so as to assess their health sensitization needs. Methods This was a cross-sectional study. We recruited 403 participants at 30 weeks of gestation and above after giving written informed consent. Systematic sampling was used to select participants and data was collected using pretested interviewer-administered questionnaires. The collected data was entered in Epidata version 4.2 and exported to Stata for analysis. Continuous variables were summarized using mean and standard deviation. Categorical variables were summarized using frequencies and proportions. Factors associated with awareness were assessed at both bivariate and multivariate levels. Results Four hundred three pregnant women were recruited, majority (35.5 %) were between 20 and 24 years and their mean age was 26.6 years. Only 125 (31 %) participants were aware of GDM. Age and educational level were significantly associated with awareness of GDM. Women aged 35 years and above were more likely to be aware of GDM (OR = 2.34 (95 % CI = 1.14–4.81) p = 0.021. Women with primary education or no education were less likely to be aware (OR = 0.48 (CI 0.24–0.96) p = 0.038. Conclusions Awareness of GDM was poor among study participants. There is need to improve the health education programs in order to increase awareness of GDM among women attending ANC at KNRH. Women below 35 years of age and those with primary education or less should be specifically targeted when giving health education sessions so as to increase their awareness of GDM.

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