Pregnancy outcome in gestational diabetes.
OBJECTIVE
To assess maternal and neonatal outcomes of gestational diabetes mellitus (GDM) following glycemic screening and diabetic management, with special focus on concurrent GDM and pre-eclampsia.


METHODS
A retrospective chart review of 782 women diagnosed with and treated for GDM at a Chinese university teaching hospital. Data on maternal and neonatal outcome, glycemic control, concurrent pre-eclampsia, and diabetic management were collected and analyzed.


RESULTS
The incidence of GDM was 3.8%. Of the affected women, 62.9% were managed with diet only and the remainder received insulin treatment. Overall, 80.7% had good glycemic control. Poor glycemic control and concurrent pre-eclampsia correlated with maternal and neonatal complications.


CONCLUSIONS
Aggressive management for tight glycemic control improves maternal and neonatal outcomes in women with GDM.
Fan
Z T
ZT
Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.
Yang
H X
HX
Gao
X L
XL
Lintu
H
H
Sun
W J
WJ
D000328:Adult; D044466:Asian People; D001786:Blood Glucose / Q000032:analysis; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies
D001786:Blood Glucose