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Le diabète pendant la grossesse.
Howard Berger1, Robert Gagnon2, Mathew Sermer1
1Toronto (Ont.).
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|September 4, 2016
Summary
This guideline reviews evidence on diagnosing and managing gestational diabetes mellitus (GDM). It covers maternal and fetal outcomes to improve pregnancy care for women with diabetes during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Public Health
Background:
- Gestational diabetes mellitus (GDM) affects maternal and fetal health.
- Evidence-based guidelines are crucial for optimal pregnancy care.
Purpose of the Study:
- To review evidence on the diagnosis and obstetric management of GDM.
- To inform clinical practice and improve outcomes for pregnant individuals with diabetes.
Main Methods:
- Literature search of PubMed and The Cochrane Library.
- Inclusion of systematic reviews, randomized controlled trials, and observational studies.
- Controlled vocabulary search using MeSH terms 'diabetes' and 'pregnancy'.
Main Results:
- Evaluated maternal outcomes: preeclampsia, cesarean delivery, future diabetes, cardiovascular complications.
- Assessed fetal outcomes: congenital anomalies, stillbirth, macrosomia, birth trauma, hypoglycemia, long-term effects.
- Quality of evidence assessed using Canadian Task Force on Preventive Health Care criteria.
Conclusions:
- Summarizes key findings and recommendations for GDM diagnosis and management.
- Highlights the importance of evidence-based obstetric care in pregnancy.
- Aims to reduce maternal and fetal complications associated with gestational diabetes.
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