KẾT QUẢ SẢN KHOA CỦA CÁC THAI PHỤ ĐÁI THÁO ĐƯỜNG THAI KỲ TẠI MỘT SỐ BỆNH VIỆN TỈNH THÁI NGUYÊN

Abstract

Gestational diabetes mellitus (GDM) is actually problem of public health cause of its increased prevalence. GDM cause many consequences for the mother, fetus and newborn. Objectives: This study was undertaken to describe the maternal and fetal outcome in Gestational Diabetes Mellitus (GDM) at some Thai Nguyen provincial hospitals in 2022. Subjects and research methods: Descriptive cross-sectional study method, on 105 medical records of pregnant women with a gestational age of 28 weeks or more who were diagnosed with GDM according to ADA 2011 criteria during pregnancy and pregnancy termination at Thai Nguyen Central Hospital and Hospital A Thai Nguyen from 01/2022 to the end of 12/2022. Results: The mean age of pregnant women with GDM is 30.59 ± 6.24 years old. The mean gestational age at the end of pregnancy was 38.44 ± 1.63 weeks; 90,48% of cases ended pregnancy at term, while preterm delivery rate is 9,52%. The rate of cesarean section among women with GDM was 74.3%, vaginal delivery accounted for 25.7%. The common reasons for cesarean section is 43.59% previous cesarean scar, 26.92% fetal macrosomia. The average birthweight of women with GDM was 3262 ± 512g; rate of newborn with a birthweight 4000g or more, accounting for 9.5%. The majority of newborns in GDM group (87,6%) had no postpartum complications. Conclusion: The majority of pregnant women with GDM ended pregnancy at full term and delivery by cesarean section. Complication rate for newborn is lowand no infants died in the perinatal period.