过早生育和先天性形根据妊娠糖尿病的类型而有所不同
Monica Ballesteros1,2,3, A Guarque4,5,6, M Ingles5,6
1Department of Medicine and Surgery, Rovira i Virgili University, Tarragona, Spain. mballesteros.hj23.ics@gencat.cat.
BMC pregnancy and childbirth
|May 2, 2024
概括
怀孕1型糖尿病 (DM) 与更大的新生儿和更多的低血糖症有关. 怀孕期间的2型糖尿病与先天性形和极度早产有关,这凸显了代谢控制的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 新生儿科学 新生儿科学
背景情况:
- 糖尿病是一种常见的妊娠并发症.
- 怀孕期间的2型糖尿病可能不会比1型糖尿病更好地提供产周结果.
研究的目的:
- 为了比较怀孕期间1型DM和2型DM的妇女之间的围产期结果.
- 确定影响新生儿并发症的孕产妇因素.
主要方法:
- 预期的观察性队列研究.
- 包括141名患有1型糖尿病的女性和124名患有2型糖尿病的女性,在2009-2021年期间进行了跟踪.
- 收集的临床,产科和围产期结局数据.
主要成果:
- 患有1型糖尿病的女性年轻,糖尿病持续时间较长;2型糖尿病患者的肥胖和慢性高血压较高.
- 1型糖尿病怀孕的新生儿低血糖和出生体重较高.
- 2型DM怀孕显示出极端早产和先天性形的增加.
结论:
- 新生儿尺寸和低血糖在1型糖尿病中更高.
- 先天性形和早产早产与2型糖尿病更为相关.
- 代谢控制,体重增加和孕期BMI显著影响产科和新生儿并发症.
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