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Titolo:
Early glycemic control reduces large-for-gestational-age infants in 250 Japanese gestational diabetes pregnancies
Autore:
Sameshima, H; Kamitomo, M; Kajiya, S; Kai, M; Furukawa, S; Ikenoue, T;
Indirizzi:
Miyazaki Med Coll, Perinatal Ctr, Miyazaki 8891692, Japan Miyazaki Med Coll Miyazaki Japan 8891692 al Ctr, Miyazaki 8891692, Japan Miyazaki Med Coll, Dept Obstet & Gynecol, Miyazaki 8891692, Japan MiyazakiMed Coll Miyazaki Japan 8891692 ynecol, Miyazaki 8891692, Japan Kagoshima City Hosp, Dept Obstet & Gynecol, Kagoshima, Japan Kagoshima City Hosp Kagoshima Japan Obstet & Gynecol, Kagoshima, Japan
Titolo Testata:
AMERICAN JOURNAL OF PERINATOLOGY
fascicolo: 7, volume: 17, anno: 2000,
pagine: 371 - 376
SICI:
0735-1631(2000)17:7<371:EGCRLI>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
MACROSOMIA; DIAGNOSIS;
Keywords:
gestational diabetes mellitus; glycemic control; large-for-gestational age; neonatal complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Sameshima, H Miyazaki Med Coll, Perinatal Ctr, 5200 Kihara, Miyazaki 8891692, Japan Miyazaki Med Coll 5200 Kihara Miyazaki Japan 8891692 , Japan
Citazione:
H. Sameshima et al., "Early glycemic control reduces large-for-gestational-age infants in 250 Japanese gestational diabetes pregnancies", AM J PERIN, 17(7), 2000, pp. 371-376

Abstract

Our objective was to lest if tight glycemic control versus loose glycemic control in gestational diabetic patients and a gestational age of < 32 weeks influence fetal growth, fetal distress, and neonatal complication. We performed a retrospective study with 250 gestational diabetes mellitus in Japanese women. Two groups were categorized according to the timing at which good maternal glycemic control was attained at < 32 weeks and kept so until delivery (group 1) and > 32 weeks or never until delivery (group 2). In these two groups, neonatal growth (large-for-gestational age: LGA; appropriate-:AGA; and small- SCA), neonatal complications (hypoglycemia, jaundice, polycythemia, and cumulative incidence), and incidence of fetal distress were compared. The chi (2.) test, unpaired t test, one-way analysis of variance (ANOVA) and multiple logistic regression analyses were used for statisticalanalyses. Maternal age, height, prepregnancy body mass index (BMI), gestational age at delivery were not different between the groups. In group 2 (> 32 weeks), LGA, macrosomia (> 4 kg), neonatal hypoglycemia was significantly increased compared with those in group 1. Incidence of SCA, fetal distress, and neonatal jaundice were not different between the groups. Multiple logistic regression analysis for LGA showed significant relation to timing ofmaternal glycemic control. We concluded that good glycemic control should be attained at < 32 weeks and maintained until delivery to reduce LGA infants and neonatal hypoglycemia in gestational diabetes mellitus. This management did not appear to decrease SGA infants or fetal distress.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 15:24:43