在妊娠第三季度的孤立多水症或继发于晚期妊娠糖尿病的多水症:这是值得区分的吗?
Sadullah Özkan1, Murat Levent Dereli1, Sadun Sucu1
1Etlik Lady Zübeyde Maternity and Women's Health Teaching and Research Hospital, Department of Obstetrics and Gynaecology - Ankara, Turkey.
概括
怀孕后期的多水可能表明妊娠期糖尿病,即使初始查正常. 然而,妊娠结果和管理在各组之间没有显著差异.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 内分泌学 在内分泌学.
背景情况:
- 多水,液过多,可能与各种孕产妇和胎儿疾病有关.
- 孕期糖尿病 (GDM) 是一种常见的妊娠并发症.
- 晚期发病的GDM可能没有典型的早期风险因素.
研究的目的:
- 为了比较由于晚发性GDM而导致多水症的妇女的怀孕结果与孤立的多水症.
- 评估在多水症病例中识别晚发性GDM的临床意义.
主要方法:
- 对295名患有非胎儿-胎盘起源的第三季度多水症的妇女进行了回顾性审查.
- 分为两组:单独的多水和多水与晚发性GDM,基于第三个三个月口服葡萄糖耐受性测试.
- 对母婴和新生儿结局的综合分析.
主要成果:
- 35名参与者 (11.8%) 被诊断为由于晚发性GDM而患有多水症.
- 两组之间主要怀孕结果没有发现显著差异.
- 出生时的出生体重和妊娠年龄分别是复合母亲和新生儿结果的独立预测因素.
结论:
- 怀孕晚期的多水,没有其他可识别的原因,可能表明之前正常的葡萄糖耐受性测试的女性的晚期发病的GDM.
- 目前的证据表明,区分单独的多水和由于晚发性GDM可能不会改变怀孕管理或结果.
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