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Titolo:
AVOIDANCE OF INFANT RISKS THROUGH A GENERAL SCREENING FOR GESTATIONALDIABETES, INTENSIVE DIAGNOSIS AND CONSEQUENT THERAPY
Autore:
HOPP H; VOLLERT W; RAGOSCH V; PRITZE W; EBERT A; ENTEZAMI M; WEITZEL H;
Indirizzi:
FREE UNIV BERLIN,KLINIKUM BENJAMIN FRANKLIN,FRAUENKLIN & POLIKLIN,HINDENBURGDAMM 30 D-12200 BERLIN GERMANY FREE UNIV BERLIN,KLINIKUM STEGLITZ,FRAUENKLIN & POLIKLIN W-1000 BERLIN GERMANY
Titolo Testata:
Geburtshilfe und Frauenheilkunde
fascicolo: 1, volume: 55, anno: 1995,
pagine: 28 - 31
SICI:
0016-5751(1995)55:1<28:AOIRTA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
PREGNANCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
H. Hopp et al., "AVOIDANCE OF INFANT RISKS THROUGH A GENERAL SCREENING FOR GESTATIONALDIABETES, INTENSIVE DIAGNOSIS AND CONSEQUENT THERAPY", Geburtshilfe und Frauenheilkunde, 55(1), 1995, pp. 28-31

Abstract

Only 10% of all gestational diabetic mothers in Germany are diagnosedwith the current risk-screening. The elevated perinatal risks in caseof an unrecognized or insufficiently treated gestational diabetes remains controversial. The purpose of our study was to determine if the number of recognized cases could be increased by a general screening method, and with intensive medical diagnostics the complication rate reduced. Routine blood glucose samplings during the outpatient care were performed throughout the pregnancy. In case of values over 100mg/dl a 75g OGTT was done for an exclusion of gestational diabetes. In case ofgestational diabetes the patients were asked to follow a special exercise and diet programme as well as self-blood glucose determinations throughout the day. The amniotic fluid insulin level was of substantialvalue for the indication of insulin therapy. In 6% of the screened patients a gestational diabetes was diagnosed. There was a significant increase (p < 0,001) of fetal macrosomia and diabetic fetopathy in the group without amniocentesis (n=22) in comparison to the group with invasive (n=81). We demand the introduction of a general screening for every pregnant patient. By an intensification of the diagnostic methods as well as by a strictly appropriate therapy it should be possible to reduce the fetal and neonatal complications.

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Documento generato il 26/09/20 alle ore 11:19:34