ĐÁNH GIÁ KẾT CỤC SẢN KHOA VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở THAI PHỤ MẮC ĐÁI THÁO ĐƯỜNG THAI KỲ

Abstract

Objective: The study aims to evaluate obstetric outcomes and the association with some factors in pregnant women diagnosed with gestational diabetes. Subjects and methods: The cross-sectional study was conducted on 33 pregnant women diagnosed with gestational diabetes who gave birth at the Obstetrics and Pediatrics Hospital of Kien Giang Province from March 2023 to June 2024. Results: Regarding general characteristics, pregnant women aged ≥35 constituted the majority (52%), with over half of the participants managing their blood glucose through dietary measures. In terms of obstetric outcomes, 75.8% of the pregnant women had a gestational age at delivery of ≥37 weeks, and the majority underwent cesarean section (90.9%), with the rates of pre-eclampsia and macrosomia being 33.3% and 24.2%, respectively. Concerning maternal complications, most had no complications (87.9%), and 12.1% experienced postpartum hemorrhage. Regarding neonatal characteristics, all newborns had APGAR scores of 8-10, with most free of complications (81.8%); however, neonatal hypoglycemia occurred in 18.2%. The evaluation of obstetric outcomes indicated that the majority were uncomplicated, and a gestational age at birth of <37 weeks was significantly associated with adverse obstetric outcomes, with an odds ratio of 12.22 (95% CI: 1.88-79.44, p=0.01). Conclusion: Gestational diabetes significantly affects obstetric outcomes; most pregnant women with this condition undergo cesarean delivery, and the majority experience uncomplicated obstetric outcomes. A gestational age at birth of <37 weeks is significantly associated with adverse obstetric outcomes.