ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA SẢN PHỤ ĐÁI THÁO ĐƯỜNG CÓ TIỀN SẢN GIẬT TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: Describe the clinical and paraclinical characteristics of diabetic pregnant women with preeclampsia at the National Hospital of Obstetrics and Gynecology from January 2021 - June 2023. Subjects and Methods: Retrospective cross-sectional description from medical records of 205 diabetic pregnant women with preeclampsia who gave birth at the National Hospital of Obstetrics and Gynecology from January 2021 to June 2023. Results: A history of preeclampsia, a history of third-trimester stillbirth, and a family history of diabetes/hypertension were more common in the pregestational diabetes group than in the gestational diabetes group. The rate of severe preeclampsia was higher in the pregestational diabetes group (37.9%) than in the gestational diabetes group (19.8%). The mean blood pressure in the pregestational diabetes group was higher than in the gestational diabetes group. The rates of oligohydramnios and polyhydramnios were higher in the pregestational diabetes group. The rates of increased liver enzymes, increased uric acid, and increased proteinuria were higher in the pregestational diabetes group than in the gestational diabetes group. Conclusion: Pregnant women with pregestational diabetes and preeclampsia have a higher risk of severe preeclampsia complications than pregnant women with gestational diabetes.