Journal of Developmental Medicine(Electronic Version)  2013, Vol. 1 Issue (2): 78-82 DOI: |
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| Analysis
ofperinataloutcomes of 2891
hospitalized pregnant
women withglucosemetabofism disorders |
| KONG Fang-fang,ZHA0 Ling-juan,MA Zhen-ju
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Department of
Gynecology and Obstem'cs。Tianjin Sanatorium,Tianjin 300381，China
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Abstract 【Abstract】0bjectives
The
study
was
designed
to evaluate
pregnancy
outcomes of 2891
pregnant
women with
glucose metabolism
disorders in
garrison hospitals，and
the incidence of postpartum
hemorrhage，
maternal
mortality，neonatal mortality．Methods
The clinical data of 289 1 eases
through inquiry system
from October 2000 to
September
201 1 were
retrospectively analyzed．The
eutocia rate，cesarean section rate，
postpartum hemorrhage rate，neonatal mortality
rate and maternal
mortality
rate were studied．Results(1)
The total
delivery
incidence of GDM was 2．58％口(1631／633 355)．At the first
stage．from 2001
to 2004．
the
delivery
incidence of
gestational
diabetes
kept
stable at 1．56％0(2691172
936)；at
the second
stage，
from 2005 to 2008，it was increased
gradually
with the
average
incidence of 4．63％D(1055／227 988)：and
at the third
stage，from
2009 to 201 1，it was decreased
gradually，with
the
average incidence of
1．32％。
(307／232 43 1)．(2)In recent 1 1 years．the total delivery incidence of GIGT was increased
gradually．with
the
average
incidence of 1．99％o(1260／633 355)．The cesarean section rate of
gestational
diabetes metabolic
abnormalities showed a mild decrease with the
average incidence
of 64．84％．The abnormal
glucose metabolism
rate of
gestational
diabetes metabolic abnormalities was 0．07％(2／289 1)，in which the
gestational
diabetes
group
was 0．12％(2／1631)，which Was
significantly higher
than the
group
of pregnant women with abnormal
glucose tolerance【0％(0／1260)]．The
incidence of
postpartum hemorrhage
of
pregnant
women with
glucose JDevelopmentMed，Apr 2013，V01．1，No．2
metabolism disorders showed a declining state，which was 1．83％(53／289 1)，in which the rate of
gestational
diabetes
group[2．27％(37／1631)]was significantly higher
than the rate of
pregnant
women with abnormal
glucose
tolerance group[1．27％(1611260)]．The maternal
mortality
rates of the two
groups
were both 0．
Conclusion We should
pay attention
tO the control of blood
glucose
level
during pre-pregnancy and pregnancy
stage，discover impaired glucose
tolerance
early
and
give intervention，such
as
exercise，proper
diet treatment
and body
weight growth
rate control，and
keep
the blood
glucose
at a reasonable level．And finally we hope
to reduce the risk of the further
development
of
gestational
diabetes and the incidence of adverse
pregnancy
outcomes．
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Published: 07 September 2019
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