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Risk factors of gestational diabetes mellitus and its influence on pregnancy outcome |
WANG Jinfeng |
Department of Obstetrics and Gynecology, Suzhou Science and Technology Town Hospital, Jiangsu Province, Suzhou 215000, China |
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Abstract Objective To investigate the risk factors of gestational diabetes mellitus and its influence on pregnancy outcome. Methods Sixty cases of pregnant women with gestational diabetes admitted to Department of Obstetrics and Gynecology, Suzhou Science and Technology Town Hospital ("our hospital" for short) from June to December 2016 were selected as observation group, 50 cases of normal pregnant women admitted to our hospital at the same period were selected as control group, the pregnancy outcome was compared between the two groups. At the same time, the obstetric risk factors of patients with gestational diabetes, such as pregnancy, maternal, abortion were analyzed. Results The incidence of pregnancy-induced hypertension, polyhydramnios, postpartum hemorrhage, cesarean section in the observation group was higher than those in the control group, the differences were statistically significant (P < 0.05). The incidence of fetal macrosomia, premature delivery, fetal distress in the observation group was higher than those in the control group, the differences were statistically significant (P < 0.05). Multi factor Logistic regression analysis showed that, the age, the times of pregnancy, the number of abortions and the weight gain during pregnancy were the risk factors of the obstetric risk factors (P < 0.05). Conclusion Maternal and neonatal outcomes in women with gestational diabetes is poor. Age, pregnancy times, abortion times, weight gain during pregnancy are the risk factors of gestational diabetes mellitus, it is necessary to give active obstetric intervention to reduce the occurrence of gestational diabetes.
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