KẾT QUẢ SẢN KHOA ĐÁI THÁO ĐƯỜNG THAI KỲ TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI NĂM 2022

Abstract

Objectives: This study seeks to evaluate outcomes of gestational diabetes mellitus (GDM) at Ha Noi Obstetrics and Gynaecology Hospital (HOGH) from April to October in 2022. Materials and methods: A cross – sectional study on 104 women with GDM who got prenatal care at HOGH from April to October in 2022. Most of pregnant women are treated by Medical Nutrition Therapy or Insulin Therapy, the rest of them didn’t follow their checkup schedule. Results: Among 104 women with GDM, there are 6,7% women didn’t follow the management, 24,1% controlled by insulin, 69,2% got Medical Nutrition Therapy. The number of women deliveried at term take a proportion of 77%, the others deliveried at 31 – 37 weeks of gestation. This study reveal the same ratio between vaginal dilivery and cesarean section. There is no difference in incidence of preeclampsia, polyhydramnios, fetal macrosomia, fetal distress between treatment groups. We witnessed 3 women suffered surgical site infection and endometritis (2,9%). APGAR scores at 5 minutes of all newborn is equal or higher than 7. The percentage of infant jaundice, hypoglycemia, infections is 5,6% 7,7% and 0,9% respectively. There is no neonatal death in this study. Conclusions: Women with GDM controlled by insulin or got Medical Nutrition Therapy had reduced obsterics complications.