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Diagnosis and treatment of gestational diabetes associated with pregnancy outcomes of

Comparison rate (for example.%) Rate of 2.2 premature group Ⅱ I 37 ~ 4JD weeks of gestation were 148 cases of parturition and 63 cases, accounting for 98.67% and 98.44%, preterm delivery rate was 1 .33% and 1.56%. 1I group of 37 to 40 weeks of gestation parturition l1 cases. Accounted for 68.75%. Preterm birth rate was 31.25%, significantly higher than I and Ⅱ group. Perinatal outcome of 2.3 children child perinatal outcome in each group in Table 3. I group, 1 patient because of premature birth (gestational age 33 3 cases of shoulder dystocia fetal macrosomia. preterm labor in 3 cases. Ⅲ group of children perinatal death in 5 cases, 1 case of pregnancy-induced hypertension disease with placental abruption. 2 cases of sudden intrauterine fetal death, 2 cases were caused by intrapartum asphyxia. Table 2 Group comparison of perinatal outcome of children in China Maternal and Child Health Volume 23,[link widoczny dla zalogowanych], 2008 3 to discuss the importance of 3.150g sugar screening of pregnant women with gestational diabetes often no obvious symptoms. clinically easily missed or diagnosed late, can not get timely treatment which led to increased perinatal mortality,[link widoczny dla zalogowanych], and easy to cause obstetric complications. 50g sugar screening is simple. clothes 1h sugar glucose /> 7.8mmol / L re-OGTI easy to accept. time after diagnosis of diabetes control blood sugar levels. gestational diabetes diet control is very important. part of the diet of pregnant women is only to maintain blood sugar within normal limits. by strict diet control fasting blood glucose is still /> 5.6mmol / L or 2h postprandial blood glucose /> 6.7mmol / L patients. It should be treated with insulin. first with regular insulin to adjust blood sugar more stable to the effect of insulin, self-injection of convenience, can be treated outside the hospital. blood glucose levels closely monitored during the , the situation of fetal, placental function and fetal lung maturity. Our data show. 230 cases are discovered by screening and diagnosis of diabetes patients. through the diet (I group) or diet plus insulin therapy (II group) better able to control blood sugar levels, to achieve good pregnancy outcome. No system in the treatment group (1I group),[link widoczny dla zalogowanych], complications of pregnancy, fetal macrosomia, perinatal child mortality, neonatal morbidity and cesarean section than those of good blood glucose control children was significantly increased. The major impact of diabetes on the mother is complicated by vascular disease, thus increasing the incidence of hypertension and preeclampsia epilepsy complications. postpartum hemorrhage rate was 37.5%, combined with maternal polyhydramnios, fetal macrosomia, related to uterine inertia. In diabetic pregnancy, fetal lung growth retardation, neonatal respiratory distress syndrome (NRDS) the occurrence of 6 times the normal rate. mainly due to hyperglycemia hyperinsulinemia inhibits a fetal lung surfactant synthesis. good blood glucose control and fetal monitoring can reduce the incidence of NRDS. information. I group and positive control of blood glucose in group Ⅱ and monitoring of fetal lung maturity, no 1 case. Ⅲ group of patients diagnosed late because the system does not line treatment, were significantly increased. so early detection of pregnancy. active control of blood glucose levels can be reduced in the ideal range of various complications, reduce neonatal morbidity and improve neonatal survival. 3.3 timing and manner of termination of pregnancy should be in strengthening the principle of mother child care, controlling blood sugar at the same time,[link widoczny dla zalogowanych], try to delay the timing of termination of pregnancy. If good blood glucose control, non-consolidated third trimester of pregnancy disease, fetal in good condition, should wait until the recent pre-term (38 to 39 weeks) termination of pregnancy, blood glucose control are not satisfied, fetal lung maturity as soon as possible after the termination of pregnancy in order to avoid occurrence of iatrogenic NRDS. and also to prevent sudden fetal death house inside. Our data show. I group, Ⅱ and Ⅲ were 37 ~ 4JD weeks of gestation deliveries were 98.67%, 98.44% and 68.75%, perinatal child mortality, preterm delivery, newborn Disease rates were significantly different children. I group, Ⅱ and Ⅲ were cesarean section rate was 38.67%, 20.31%, 62.5%. that good blood glucose control can reduce the cesarean section rate 4
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