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学科主题: 临床医学
题名:
Effects of intervention to mild GDM on outcomes
作者: Wei, Yu-Mei1; Yang, Hui-Xia1; Zhu, Wei-Wei1; Yang, Hong-Yun2; Li, Hai-Xia2; Kapur, Anil3
关键词: Fasting plasma glucose ; gestational diabetes mellitus ; oral glucose tolerence test
刊名: JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
发表日期: 2015-05-01
DOI: 10.3109/14767058.2014.937697
卷: 28, 期:7-8, 页:928-931
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology
研究领域[WOS]: Obstetrics & Gynecology
关键词[WOS]: GESTATIONAL DIABETES-MELLITUS ; PLASMA-GLUCOSE ; PREGNANCY
英文摘要:

Objective: To evaluate pregnancy outcomes in women with gestational diabetes mellitus (GDM) diagnosed by the IADPSG criteria at 24-28 weeks of gestation but with fasting plasma glucose (FPG) less than 4.4 mmol/L.

Research design and methods: A retrospective study was conducted. Medical records of 25 674 pregnant women attending the Peking University First Hospital (PUFH) were analyzed. Women with FPG value <4.4 mmol/L were segregated into those with and without GDM based on the IADPSG criteria. Pregnancy outcomes in the form of birth weight, neonatal hypoglycemia and cesarean delivery were compared between the two groups.

Results: The incidence of macrosomia between GDM 7.1% (treated 6.9%; untreated 7.2%) was not different from the non GDM group 6.3%, similarly neonatal hypoglycemia 1.9% (treated 2.0%; untreated 1.7%) was were not significantly different from the non GDM group 1.1%. Rate of cesarean delivery in the untreated GDM group 59.7% was significantly higher compared to both with treated GDM (48.4%) and the non GDM group (47.6%).

Conclusions: There is no difference in the incidence of select adverse pregnancy outcomes amongst Chinese women with mild GDM (FPG<4.4 mmol/L) with or without intervention compared to women without GDM.

语种: 英语
所属项目编号: WDF10-517
项目资助者: World Diabetes Foundation
WOS记录号: WOS:000358701200035
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64170
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.World Diabet Fdn, Boston, MA USA
2.Peking Univ, Hosp 1, Dept Obstet & Gynecol, Beijing 100034, Peoples R China
3.Peking Univ, Hosp 1, Dept Clin Lab, Beijing 100034, Peoples R China

Recommended Citation:
Wei, Yu-Mei,Yang, Hui-Xia,Zhu, Wei-Wei,et al. Effects of intervention to mild GDM on outcomes[J]. JOURNAL OF MATERNAL-FETAL &amp; NEONATAL MEDICINE,2015,28(7-8):928-931.
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