Outcomes in gestational vs. pre-gestational diabetes women.
Journal name: World Journal of Pharmaceutical Research
Original article title: Antenatal, intrapartum and postnatal outcome in gestational diabetic and pre- gestational diabetic women
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Dr. Bashaer Hussain Aloufi and Dr. Afaf AL Saiali
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Antenatal, intrapartum and postnatal outcome in gestational diabetic and pre- gestational diabetic women
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20181-10564
Download the PDF file of the original publication
Summary of article contents:
Introduction
The prevalence of Diabetes Mellitus, particularly in the Saudi population, has become a significant public health concern, especially regarding pregnant women. This study conducted a retrospective analysis of the maternal and fetal outcomes in 200 diabetic pregnant women—both gestational and pre-gestational—at King Abdul Aziz Specialist Hospital in Taif between January and December 2017. The research aims to highlight the complications associated with these conditions and the need for better screening and follow-up protocols.
Maternal and Fetal Complications
A critical finding of the study indicates that maternal and fetal complications were more pronounced in women with pre-gestational diabetes compared to those with gestational diabetes. Pre-gestational diabetics exhibited a higher incidence of complications, such as pre-eclampsia and diabetic ketoacidosis, which translated into worse overall outcomes for both mothers and infants. Specifically, 20% of pre-gestational diabetics suffered from pre-eclampsia, contrasting sharply with 7% in the gestational diabetes group. This disparity underscores the necessity for targeted interventions for pre-gestational diabetic patients to mitigate risks during pregnancy and delivery.
Risk Factors and Screening
The study associated several risk factors with the incidence of gestational diabetes, including obesity (BMI greater than 25), a family history of diabetes, and a prior history of intrauterine fetal deaths (IUFD). The comparison of these factors between the two groups revealed that pre-gestational diabetics had higher instances of complications, such as macrosomia, with 14% of them experiencing this compared to just 3.3% among gestational diabetics. This highlights the importance of proactive screening techniques, such as glucose tolerance testing, to identify at-risk candidates early in their pregnancies.
Importance of Multidisciplinary Care
Effective management of diabetes in pregnancy necessitates a multidisciplinary approach, involving endocrinologists, obstetricians, nutritionists, and patient educators. This comprehensive care model is essential for monitoring and controlling blood glucose levels to improve both maternal and fetal health outcomes. The study emphasizes that better coordination among healthcare providers is vital for enhancing the quality of care delivered to these high-risk patients, thus improving overall delivery outcomes.
Conclusion
The study convincingly demonstrates that pregnancies complicated by diabetes—particularly pre-gestational diabetes—result in higher rates of maternal and fetal morbidity and mortality. The findings advocate for improved screening protocols, timely referrals, and ongoing management to better support pregnant women with diabetes. Additionally, ensuring early detection and regular follow-up could significantly enhance the outcomes for both mothers and their children, underscoring the critical role of effective healthcare interventions in this population.
FAQ section (important questions/answers):
What is the objective of the study on diabetic women?
The study aims to assess maternal and fetal morbidity and mortality rates in pregnant women affected by gestational and pre-gestational diabetes.
What is the prevalence of diabetes among the studied pregnant women?
Among 8,900 recorded pregnancies, 1,500 were diabetic patients, accounting for 16.8% of the total.
How were gestational and pre-gestational diabetes classified in this study?
Pregnant patients known to have diabetes are termed pre-gestational diabetics, while gestational diabetes is defined as glucose intolerance diagnosed during pregnancy.
What complication rates are associated with pre-gestational diabetes compared to gestational diabetes?
Complications, including fetal and maternal health issues, were found to be more common in women with pre-gestational diabetes compared to those with gestational diabetes.
What factors are linked to an increased risk of gestational diabetes?
Risk factors for gestational diabetes include obesity, family history of diabetes, previous pregnancy complications, and advancing maternal age.
What recommendations are made for managing diabetes during pregnancy?
Better screening programs, regular follow-up, and a multidisciplinary care approach are recommended for managing both pre-gestational and gestational diabetes in pregnancies.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Outcomes in gestational vs. pre-gestational diabetes women.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Birth:
Birth is a critical event in obstetrics, especially concerning women with diabetes. It denotes the culmination of pregnancy and is associated with various risks related to maternal and fetal health, particularly in cases of gestational and pre-gestational diabetes. Strategies to ensure safe delivery are essential for better outcomes.
2) Study (Studying):
The study referenced investigates the outcomes of pregnancies complicated by diabetes. It analyzes maternal and fetal morbidity and mortality, aiming to understand the prevalence and risks associated with gestational and pre-gestational diabetes. Such studies are vital for developing effective screening and treatment protocols in obstetrical care.
3) Blood:
Blood sugar management is crucial for pregnant women with diabetes. Monitoring blood glucose levels helps in preventing complications such as diabetic ketoacidosis, preeclampsia, and adverse neonatal outcomes. Effective blood sugar control can significantly improve both maternal health and birth outcomes, reducing risks associated with diabetes during pregnancy.
4) Pregnant:
Pregnant women with diabetes face unique challenges that can affect maternal and fetal health. Understanding the complexities of managing diabetes during pregnancy is essential for healthcare providers to deliver appropriate prenatal care to mitigate risks of complications such as preterm birth and congenital anomalies.
5) Disease:
Understanding various diseases, specifically diabetes, is essential in the context of pregnancy. The interplay between maternal diseases and pregnancy outcomes emphasizes the need for specialized care to reduce complications and ensure healthy births.
6) Developing:
Developing strategies for managing diabetes in pregnant women is vital for reducing associated health risks. Awareness of potential complications and risk factors allows healthcare professionals to implement necessary lifestyle changes and medical interventions that can greatly enhance both maternal and neonatal health outcomes.
7) Labour (Labor):
Labor signifies the process of childbirth, which can be complicated by maternal conditions such as diabetes. Proper management of maternal health during labor is crucial to prevent adverse outcomes for both the mother and infant, particularly in women with a history of poor glycemic control.
8) Family:
Family history of diabetes is an important risk factor in assessing a gestational diabetic's health. Positive family history can indicate a genetic predisposition to developing diabetes, which can inform healthcare providers about potential risks and necessary screenings for expecting mothers.
9) Medicine:
Medicine encompasses the clinical practices necessary to manage diabetes in pregnant women. It involves pharmacological interventions, dietary recommendations, and patient education, all aimed at optimizing maternal and fetal health outcomes and mitigating the risks associated with diabetes during pregnancy.
10) Activity:
Physical activity plays a key role in managing diabetes, particularly in pregnant women. Regular exercise can help regulate blood glucose levels and reduce risks of complications during pregnancy. Educating women on safe exercises is an integral part of diabetes management strategies.
11) King:
King Abdul Aziz Specialist Hospital serves as a tertiary care center and is significant in this study for providing advanced healthcare for high-risk pregnancies. The hospital plays a critical role in managing diabetic patients and ensuring adequate resources for maternal and neonatal care.
12) Death:
Maternal and neonatal death rates are critical metrics in evaluating the outcomes associated with diabetes during pregnancy. Understanding the causes of increased mortality in this population allows healthcare professionals to tailor interventions to improve survival rates and enhance overall healthcare quality.
13) Diet:
A well-managed diet is essential for pregnant women with diabetes to maintain stable blood glucose levels. Nutritional counseling and modifications can help achieve better glycemic control, thus reducing complications during pregnancy and promoting the health of both the mother and infant.
14) Post:
Postpartum care must include monitoring for potential complications arising from gestational diabetes. Women need to be educated about risks of developing type 2 diabetes later in life and the importance of maintaining a healthy lifestyle after pregnancy.
15) Observation:
Continuous observation and follow-up are crucial for pregnant women with diabetes. Regular monitoring allows healthcare providers to catch potential issues early and adjust treatment plans accordingly, ensuring a better prognosis for both mothers and their babies.
16) Discussion:
Discussion within the medical community regarding the management of diabetes in pregnancy is vital for the advancement of care strategies. Sharing experiences and outcomes can lead to improved understanding and effectiveness of treatment protocols.
17) Village:
The term 'village' emphasizes the rural demographic that may experience reduced access to healthcare services. In such areas, interventions are necessary to promote awareness and management of diabetes in pregnancy to improve maternal and fetal health.
18) Quality:
Quality of healthcare services is of utmost importance for women with diabetes. High-quality medical attention can improve pregnancy outcomes significantly by ensuring timely interventions and precise management of diabetes-related complications.
19) Visit:
Visit refers to the consultations that pregnant women need for managing diabetes. Each visit is an opportunity for healthcare providers to assess risks, provide education, and ensure appropriate interventions are in place for the safety of both the mother and infant.
20) Table:
Tables in the study may present data and findings in a clear, organized manner that provides insights into the prevalence, complications, and outcomes associated with diabetes in pregnant patients, thus supporting evidence-based practices.
21) Hand:
Manual healthcare interventions, monitoring blood glucose levels, and ensuring proper follow-up care require the skilled hands of healthcare professionals. The effectiveness of diabetes management during pregnancy is significantly influenced by attentive administration and care.
22) Pur:
Poor management of diabetes during pregnancy can lead to severe complications for both the mother and child. Healthcare providers must identify and address factors contributing to poor outcomes to enhance the overall treatment and care strategies available.
23) Life:
Life entails the overall well-being of both mother and child during pregnancy and beyond. Managing diabetes effectively contributes to the quality of life experienced by women during pregnancy and in their future reproductive health.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Outcomes in gestational vs. pre-gestational diabetes women.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Diabetes mellitus, Body mass index, Public Health Problem, Maternal morbidity, Congenital Anomalies, Oral glucose tolerance test, Nutritional counseling, Gestational diabetes, Quality of care, Multidisciplinary team, Neonatal intensive care unit, Diabetic ketoacidosis, Long-term Risk.