Perinatal complications of gestational diabetes: the influence of the timing of the diagnosis.
One hundred and thirty-nine single pregnancies complicated by gestational diabetes (GD) were reviewed. All pregnancies were treated by dietary counselling and insulin was restricted to those who presented an abnormal fasting or postprandial glycemia. Obstetrical and neonatal morbidity were evaluated according to the timing of the diagnosis of GD. Preterm labor, preeclampsia, cesarean section, macrosomia, depressed apgar at 1 min and hyperbilirubinemia were more frequent when the diagnosis was made later. Neonatal hypoglycemia was statistically more frequent among the infants of the insulin-treated mothers compared to those of the diet-treated mothers. Our data suggest that early diagnosis of GD might be important to reduce perinatal morbidity further.
D000328:Adult; D001724:Birth Weight; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000209:etiology; D007752:Obstetric Labor, Premature / Q000209:etiology; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000150:complications* / Q000175:diagnosis; D013997:Time Factors