ĐÁNH GIÁ KẾT QUẢ THAI KỲ CỦA SẢN PHỤ ĐÁI THÁO ĐƯỜNG CÓ TIỀN SẢN GIẬT TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objective: Evaluate the pregnancy outcomes of diabetic pregnant women with preeclampsia at the National Hospital of Obstetrics and Gynecology from January 2021 to 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: High rate of cesarean section: 81.9% (Emergency cesarean section: 34.6% and elective cesarean section: 47.3%). The rate of cesarean section in the pregestational diabetes group was higher than that in the gestational diabetes group. The most common maternal complication was hemorrhage followed by HELLP syndrome, complications in the pregestational diabetes group were all higher than in the gestational diabetes group. The rate of small for gestational age fetuses in the pregestational diabetes group was higher, whereas the rate of large for gestational age fetuses in the pregestational diabetes group was lower than in the gestational diabetes group. The rate of neonatal complications like shoulder dystocia, respiratory failure, jaundice and hypoglycemia in the pregestational diabetes group was higher than in the gestational diabetes group. Conclusion: The pregnant women with pregestational diabetes and preeclampsia have worse pregnancy outcome than those with gestational diabetes and preeclampsia.