孕期和妊娠期糖尿病的孕产妇和胎儿并发症:一个描述性的,回顾性的队列研究
Miriam Oros Ruiz1, Daniel Perejón López1, Catalina Serna Arnaiz2
1Institut Català de La Salut, Lleida, Spain.
Scientific reports
|April 19, 2024
概括
孕期和孕期糖尿病显著增加了母亲和婴儿的风险,包括早产,剖腹产和巨. 这些情况加剧了整体妊娠并发症和不良周产期结果.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 围产儿医学 围产儿医学
背景情况:
- 孕期糖尿病 (怀孕期间诊断的糖尿病) 和孕期糖尿病可能会对怀孕和围产期的结果产生负面影响.
- 患有糖尿病的母亲生下的婴儿往往会出现宏观症 (出生体重≥4公斤),导致过早分娩和胎儿-骨盆不成比例等并发症.
- 胎儿 - 盆腔不成比例可能导致胎儿痛苦,较低的阿巴格尔分数,并需要剖腹产.
研究的目的:
- 调查妊娠期和妊娠期糖尿病与母胎风险之间的关联.
- 量化怀孕期间与这些糖尿病疾病相关的特定不良结果的风险.
主要方法:
- 追溯队列研究的设计.
- 在莱伊达地区,从2012年到2018年包括孕妇.
- 多变量分析使用回归系数和95%置信区间 (CI) 来评估关联.
主要成果:
- 妊娠期糖尿病与早产 (OR 2.4),剖腹产 (OR 1.4),妊娠风险增加 (中度OR 1.3,高OR 3.3,非常高OR 1.7) 和宏观 (OR 1.7) 有关.
- 妊娠糖尿病与剖腹产 (OR 1.5) 有显著关联,妊娠风险增加 (中度OR 1.7,高OR 1.7,非常高OR 1.8) 和1分钟的阿巴尔分数较低 (OR 1.5).
结论:
- 孕期糖尿病和孕期糖尿病都与妊娠风险的增加有关.
- 这些糖尿病状况增加了剖腹产,早产,低阿巴格尔分数和宏观的可能性.
- 怀孕期间糖尿病的有效管理对于减轻孕产妇和胎儿不良后果至关重要.
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