[Associated factors to abnormal glucosylated hemoglobin in the postpartum period].
OBJECTIVE
To demonstrate the association between risk factors and abnormal glucosylated hemoglobin detected in women during the postpartum period.


METHODS
A case and control study was carried out at the Hospital Civil de Guadalajara Dr. Juan I. Menchaca during six months. Glucosylated hemoglobin and glucose concentration from 160 fasting women with a pregnancy > or =28 weeks was obtained during the postpartum period. With an odds ratio and confidence interval (95%) the epidemiological meaning of risk factors was identified.


RESULTS
The abnormal glucosylated hemoglobin was significantly associated to: single, separated and divorced women (p < 0.05); major frequency of previous caesarean (OR: 2.78, IC 95%:1.25-6.22), p = 0.006, and higher proportion of children with congenital malformations (OR: 12, IC 95%: 1.38-104), p = 0.01. In the group cases 48% of caesareans was associated to probable gestational diabetes: moderate preeclampsia, eclampsia, fetal macrosomy, and preterm deliveries.


CONCLUSIONS
It is necessary to make an early detection of risk factors associated to abnormal glucosylated hemoglobin and to prevent adverse effects as congenital malformations and clinical complications that increase the incidence of caesarean.
Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. gomezcz@hotmail.com
Zoila
Z
Gómez Cruz
J Jesús
JJ
Pérez Molina
J Guadalupe
JG
Panduro Barón
Victor Manuel
VM
Fletes Rábago
Edgar Manuel
EM
Vásquez Garibay
Rogelio
R
Troyo Sanromán
Mario
M
Cárdenas Meza
D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006455:Hemoglobins, Abnormal / Q000032:analysis*; D006801:Humans; D049590:Postpartum Period / Q000097:blood*; D012307:Risk Factors
D006442:Glycated Hemoglobin; D006455:Hemoglobins, Abnormal