期刊论文详细信息
Slovenian Journal of Public Health
Maternal and perinatal outcomes during the COVID-19 epidemic in pregnancies complicated by gestational diabetes
article
Ana Munda1  Blažka Šturm Indihar2  Gaj Okanovič2  Klara Zorko1  Lili Steblovnik3  Draženka Pongrac Barlovič1 
[1] University Medical Centre Ljubljana, Clinical Department of Endocrinology;University of Ljubljana, Faculty of Medicine;University Medical Centre Ljubljana, Department of Perinatology, Division of Obstetrics and Gynaecology
关键词: gestational diabetes;    COVID-19;    perinatal outcomes;    LGA;    early screening;    telemedicine;   
DOI  :  10.2478/sjph-2023-0004
学科分类:社会科学、人文和艺术(综合)
来源: Walter de Gruyter GmbH
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【 摘 要 】

Introduction Gestational diabetes (GDM) is one of the most common complications in pregnancy, with a prevalence that continues to rise. At the time of the COVID-19 epidemic, immediate reorganisation and adjustment of the system was needed. Telemedicine support was offered in order to provide high-quality treatment to pregnant women. However, the success of the treatment is unknown. We therefore aimed to evaluate COVID-19 epidemic effects on pregnancy outcomes in GDM.Methods The maternal outcomes (insulin treatment, gestational weight gain, caesarean section, hypertensive disorders) and perinatal outcomes (rates of large and small for gestational age, preterm birth and a composite child outcome) of women visiting a university hospital diabetes clinic from March to December 2020 were compared with those treated in the same period in 2019.Results Women diagnosed with GDM during the COVID-19 epidemic (n=417), were diagnosed earlier (23.9 [11.7–26.0] vs. 25.1 [21.8–26.7] gestational week), had higher fasting glucose (5.2 [5.0–5.4] vs. 5.1 [4.8–5.3] mmol/l) and earlier pharmacological therapy initiation, and had achieved lower HbA1c by the end of followup (5.1% (32.2 mmol/mol) [4.9% (30.1 mmol/mol)–5.4% (35.0 mmol/mol)] vs. 5.2% (33.3 mmol/mol) [5.0% (31.1 mmol/mol) – 5.4%·(35.5 mmol/mol)], p<0.001) compared to a year before (n=430). No significant differences in perinatal outcomes were found.

【 授权许可】

CC BY-NC-ND   

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