摘要
Objective:To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management,with special focus on concurrent GDM and pre-eclampsia. Methods:A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome,glycemic control,concurrent pre-eclampsia,and diabetic management were collected and analyzed. Results:The incidence of GDM was 3.8%. Of the affected women,62.9%were managed with diet only and the remainder received insulin treatment. Overall,80.7%had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications. Conclusion:Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.
Objective:To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management,with special focus on concurrent GDM and pre-eclampsia. Methods:A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome,glycemic control,concurrent pre-eclampsia,and diabetic management were collected and analyzed. Results:The incidence of GDM was 3.8%. Of the affected women,62.9%were managed with diet only and the remainder received insulin treatment. Overall,80.7%had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications. Conclusion:Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.
