Influência do índice de massa corporal na evolução da diabetes gestacional
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/11862 |
Resumo: | Objective: To evaluate the implications of body mass index (BMI) in pregnancies complicated with gestational diabetes (GD). Study Design: Retrospective assessment of pregnancies complicated with GD managed at our institution from January 2000 to December 2004. Results: Obstetrical complications beyond GD occurred in: group A (BMI 20-24,9) - 23%; group B (BMI 25-29,9) - 18.8% and group C (BMI>30) - 35.3%, including hypertensive disorders in A-1.65%, B-3.76% and C-9.6%. Mean value of HbA1c at third trimester was A-5.05, B-5.25 e C-5.41%. Insulin treatment was needed in A 26.1%, B-41% and C-50.6%, and was started on average at A-32.8, B-30.5 and C-29.3 gestational weeks. Delivery occurred on average at 38 weeks in the three groups, with caesarean rates of A-26.7%, B-33.1% and C-38.5%. Mean birthweight of the newborns was A-3189g, B-3307g and C- 3469g. There were 5 perinatal deaths (A-1, B-2 and C-2). Maternal and neonatal morbidity were not significantly different in the three groups. Conclusions: Obese pregnant women with GD had a higher mean maternal age, higher rates of obstetrical complications (hypertensive in particular), higher levels of HbA1c in the third trimester, needed insulin treatment more frequently and at earlier gestational ages, and their newborns were heavier. |
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Influência do índice de massa corporal na evolução da diabetes gestacionalImplications of body mass index in the evolution of gestational diabetesBody mass indexPregnancyGestational diabetesObjective: To evaluate the implications of body mass index (BMI) in pregnancies complicated with gestational diabetes (GD). Study Design: Retrospective assessment of pregnancies complicated with GD managed at our institution from January 2000 to December 2004. Results: Obstetrical complications beyond GD occurred in: group A (BMI 20-24,9) - 23%; group B (BMI 25-29,9) - 18.8% and group C (BMI>30) - 35.3%, including hypertensive disorders in A-1.65%, B-3.76% and C-9.6%. Mean value of HbA1c at third trimester was A-5.05, B-5.25 e C-5.41%. Insulin treatment was needed in A 26.1%, B-41% and C-50.6%, and was started on average at A-32.8, B-30.5 and C-29.3 gestational weeks. Delivery occurred on average at 38 weeks in the three groups, with caesarean rates of A-26.7%, B-33.1% and C-38.5%. Mean birthweight of the newborns was A-3189g, B-3307g and C- 3469g. There were 5 perinatal deaths (A-1, B-2 and C-2). Maternal and neonatal morbidity were not significantly different in the three groups. Conclusions: Obese pregnant women with GD had a higher mean maternal age, higher rates of obstetrical complications (hypertensive in particular), higher levels of HbA1c in the third trimester, needed insulin treatment more frequently and at earlier gestational ages, and their newborns were heavier.Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia2007info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/11862http://hdl.handle.net/10316/11862engActa Obstétrica e Ginecológica Portuguesa. 1:3 (2007) 116-1201646-5830Domingues, Ana PatríciaLopes, HelenaLobo, António C.Marta, ElviraMoura, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2021-05-25T07:44:51Zoai:estudogeral.uc.pt:10316/11862Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:43:43.466607Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Influência do índice de massa corporal na evolução da diabetes gestacional Implications of body mass index in the evolution of gestational diabetes |
title |
Influência do índice de massa corporal na evolução da diabetes gestacional |
spellingShingle |
Influência do índice de massa corporal na evolução da diabetes gestacional Domingues, Ana Patrícia Body mass index Pregnancy Gestational diabetes |
title_short |
Influência do índice de massa corporal na evolução da diabetes gestacional |
title_full |
Influência do índice de massa corporal na evolução da diabetes gestacional |
title_fullStr |
Influência do índice de massa corporal na evolução da diabetes gestacional |
title_full_unstemmed |
Influência do índice de massa corporal na evolução da diabetes gestacional |
title_sort |
Influência do índice de massa corporal na evolução da diabetes gestacional |
author |
Domingues, Ana Patrícia |
author_facet |
Domingues, Ana Patrícia Lopes, Helena Lobo, António C. Marta, Elvira Moura, Paulo |
author_role |
author |
author2 |
Lopes, Helena Lobo, António C. Marta, Elvira Moura, Paulo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Domingues, Ana Patrícia Lopes, Helena Lobo, António C. Marta, Elvira Moura, Paulo |
dc.subject.por.fl_str_mv |
Body mass index Pregnancy Gestational diabetes |
topic |
Body mass index Pregnancy Gestational diabetes |
description |
Objective: To evaluate the implications of body mass index (BMI) in pregnancies complicated with gestational diabetes (GD). Study Design: Retrospective assessment of pregnancies complicated with GD managed at our institution from January 2000 to December 2004. Results: Obstetrical complications beyond GD occurred in: group A (BMI 20-24,9) - 23%; group B (BMI 25-29,9) - 18.8% and group C (BMI>30) - 35.3%, including hypertensive disorders in A-1.65%, B-3.76% and C-9.6%. Mean value of HbA1c at third trimester was A-5.05, B-5.25 e C-5.41%. Insulin treatment was needed in A 26.1%, B-41% and C-50.6%, and was started on average at A-32.8, B-30.5 and C-29.3 gestational weeks. Delivery occurred on average at 38 weeks in the three groups, with caesarean rates of A-26.7%, B-33.1% and C-38.5%. Mean birthweight of the newborns was A-3189g, B-3307g and C- 3469g. There were 5 perinatal deaths (A-1, B-2 and C-2). Maternal and neonatal morbidity were not significantly different in the three groups. Conclusions: Obese pregnant women with GD had a higher mean maternal age, higher rates of obstetrical complications (hypertensive in particular), higher levels of HbA1c in the third trimester, needed insulin treatment more frequently and at earlier gestational ages, and their newborns were heavier. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/11862 http://hdl.handle.net/10316/11862 |
url |
http://hdl.handle.net/10316/11862 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Acta Obstétrica e Ginecológica Portuguesa. 1:3 (2007) 116-120 1646-5830 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia |
publisher.none.fl_str_mv |
Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133709449822208 |