t. ua-areechit, k. supakosol, k. tengtrisorn, 5 th year medical student
DESCRIPTION
Maternal and neonatal outcomes in patients with gestational diabetes mellitus in Naresuan University Hospital. T. Ua-areechit, K. Supakosol, K. Tengtrisorn, 5 th year medical student Advisors: P. Amatyakul, M.D., S. Sritippayawan, M.D. Obstetrics and Gynecologics department - PowerPoint PPT PresentationTRANSCRIPT
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Maternal and neonatal outcomes in patien ts with gestational diabetes mellitus in Na
resuan University Hospital
- 5T.Ua ar eechi t , K. Supakosol , K. Tengt r i sor n, th yyyy y yyyyyy yyyyyyy y yyyyyyyyy yyy y yyyyyyyyyyy yyyyyyy yyy : . , .., . , .. yyyyyyyy yyyyyyyyyy yyyyyyyyy yyyyyyyyyyyy yyyyyyyy, , ,
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OutlineOutline
BackgoundObjectiveMaterials and MethodsResults and DiscussionConclusions
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BACKGROUNDBACKGROUND
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BackgroundBackground
Gestational diabetes mellitus is carbohydrate intoleran ce with onset or first recognition during pregnancy.
- About 1 14 percent of pregnancy develops this conditi on depend on the nation2
In thailand, from faculty of medicine, Mahidol Universit
-y in 2550 found that the incidence of GDM about 2 3%
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BackgroundBackground GDM is linked to several maternal and fetal complications and h
as morbidity and mortality. -58
GDM is one of the most common pregnancy complications that affects as many as 5% of all pregnancy women.9
Maternal complications : Increase rate of cesarean section, Post partum hemorrhage, Pregnancy induced hypertension, Preterm
labor, Polyhydramnios. -58
Fetal complications - - : Macrosomia, Large for gestational age (LG A), Respiratory distress syndrome, Hypoglycemia, Hyperbilirubi
nemia, Polycythemia, Low APGAR score. -58
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BackgroundBackground
GDM frequently resolves after delivery but 1/3 cases wil - lhavediabetesorimpairedglucosemet abol i smat post par t umscr eeni ng and 15 50% w
ill develop diabetes in the decades following the pregna ncy making it one of the most common health problems
inpr egnancy.
Therefore, t he dat a col l ect i on on t he pr egnancy out comes i n Naresuan University Hospital should be made
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OBJECTIVEOBJECTIVE
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Objective
To determine maternal and neonatal outcomes in pati
ents with GDM in Naresuan University Hospital compa
- ring with non diabetic pregnancy clients.
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MATERIALS AND MATERIALS AND METHODSMETHODS
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Materials and Methods Ret r ospect i ve cr oss sect i onal st udy
GDM pregn ancy woman
Pregnancy outcome
Data collecting From medical records regarding baseline characte
ristics, maternal and neonatal outcomes, route of de livery, glycemic control and diabetic management.
General characteristics
Maternal
Fetal
Fetal
Maternal
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Materials and Methods
Study population Subject group
Inclusion criteria
GDM who delivered at Naresuan University Hospital du ring June 1, 1999, to May 31, 2012
Exclusion criteria Over t DM
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Materials and Methods
Control group Inclusion criteria
- Non diabetic women who delivered during June 1, 1 999, to May 31, 2012 by using Systematic Random
Sampl i ng Exclusion criteria
History of DM, GDM, congenital anomalies relate d t o DM
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RESULTS AND RESULTS ANDDISCUSSIONDISCUSSION
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1Figure . Demographic comparison of patient with G DM
and a cont r ol gr oup wi t hout GDMDemographic GDM
59(n= )Control59(n= )
n % n %
Age [mean ± SD] [year] 3342 577. ± . 274 640. ± .
< 2 0 2 339. 12 2034.
-2029 12 2032. 23 3898 29> 45 7623. 24 4066.
- nn nnn nnn n [ ± SD] [kg/m2 ]
2349. ±448. 2093. ±358.
185< . 7 1186. 15 2542.
-185229. . 23 3898. 32 5424.
229> . 29 4915. 12 2034.
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Figure 2 . Comparison ofmaternal outcomes in patients wi thGDManda control groupwi thout GDM
★
★
★ Significant
GHTPrematurecontraction
primary C/S
PPH (Tear)
★
24 cases406.8%
11 cases186.4%
9 cases152.5%
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16
3.Figure Comparison of fetal outcomes in patients wit h GDM and a control group without GDM
★
★ Significant
★
★
21 cases354.9%
17 cases288
1% 12 ca
ses203.4%
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4Figure . Maternal and fetal outcome among women wnnn nnn nnnn nnnnnnnnnn nnn nnnnnn nnnnnnnnnn nnn
LGA Hypoglycemia
LOS
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CONCLUSIONSCONCLUSIONS
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Conclusion
Maternal andfet al outcome
GDM Pregnancy
Well control
Treatment
Poor control
-Preterm
-Macrosomia
-Hypoglycemia
Neonatal
- Hypogl ycemi a
- LGA
- NICU
Maternal
- Primary C/S
-Preterm
- GHT
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References 1 . National Diabetes Data Group Classification and diagnosis of di
abetes mellitus and other categories of glucose intolerance Diabet -es 1979; 28: 1039 57. 2 . Hadden DR Geogrphic, ethnic, and racial variations in the incid
198534 2ence of gestational diabetes mellitus Diabetes ; (suppl ):- 812
3. Hunt KJ,Schuller KL. The increasing prevalence of diabetes in pr -egnancy. Obstet Gynecol Clin North Am 2007; 34:173 99,vii
4. Serirt S, Derrochanawong C, Sunthornthepvarakul T, Jinayon P G -estational diabetes mellitus J Med Assoc Thai 1992; 75: 315 8.
5. Cunnungham FG, Leveno KJ, Bloom SL, Hauth JC, Gilstrap III, W 22enstrom KD, Diabetes. Williams Obstetrics. nd ed. New York: McG
- -2005116984raw Hill; :
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Thank you for Thank you for your attentionyour attention