SO SÁNH ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG GIỮA NHÓM SẢN PHỤ ĐÁI THÁO ĐƯỜNG THAI KỲ ĐIỀU TRỊ TIẾT CHẾ VÀ ĐIỀU TRỊ INSULIN TẠI BỆNH VIỆN SẢN NHI NGHỆ AN NĂM 2023

Abstract

Objective: The study aims to compare clinical and sub-clinical characteristics between pregnant women with gestational diabetes mellitus treated with Insulin and lifestyle change at Nghe An Hospital of Obstetrics and Pediatrics in 2023. Subjects and methods: An observational study among 248 pregnant women with GDM and delivery at Nghe An Hospital of Obstetrics and Pediatrics from 02/2021 to 9/2023. Result: The average age is 32,30 ± 5,69; women over 35 years old are at high risk of GMD treatment method. The rate of pregnant women with a history of spontaneous preterm delivery, stillbirth in 3^rd trimester, and macrosomia is 5,24%; 2,02%, and 8,87% respectively. The rate of gestational hypertension and/or pre-eclampsia is 4,84%, and that status increases the risk of Insulin treatment 4,91 times. Conclusion: Maternal age and gestational hypertension/pre-eclampsia are risks of changing GDM treatment.