title: [Retrospective study of the maternal, fetal and perinatal outcomes in diabetic women in twenty years of assistance in the Universidade Federal do Triângulo Mineiro School Hospital].
abstract: OBJECTIVE
  Evaluation of the consequences of diabetes mellitus (DM) on maternal and fetal morbidity and mortality at Universidade Federal do Triângulo Mineiro.
  
  
  METHODS
  A retrospective review of medical records of pregnant women with diabetes was carried out at the hospital between 1990-2009, focusing on maternal and neonatal data and complications.
  
  
  RESULTS
  The last pregnancy of 93 diabetics was evaluated. In thirty-four patients with type 1 diabetes a higher incidence of birth trauma (p = 0.023) and retinopathy (p = 0.023) was observed. Twenty-one type 2 DM subjects required progressively increased insulin therapy (p < 0.01) and showed a higher prevalence of smoking (p = 0.004). Thirty-eight had gestational diabetes. Their diabetic follow-up started at a later gestational age (p < 0.001), had more fetal macrosomia histories (p = 0.028) and cardiovascular risk factors.
  
  
  CONCLUSIONS
  Despite improvement of glycemic control during pregnancy neither group attained the glycemic target. However, the majority of DM pregnancies evaluated in our group presented successful outcomes.
authors.affiliation: Disciplina de Endocrinologia, Departamento de Clínica Médica, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.
authors.forename: Evelyne Gabriela Schmaltz
authors.initials: EG
authors.lastname: Chaves
authors.forename: Priscila de Melo
authors.initials: Pde M
authors.lastname: Franciscon
authors.forename: Gabriel Antônio N
authors.initials: GA
authors.lastname: Nascentes
authors.forename: Marina Carvalho
authors.initials: MC
authors.lastname: Paschoini
authors.forename: Adriana Paula da
authors.initials: AP
authors.lastname: Silva
authors.forename: Maria de Fátima
authors.initials: Mde F
authors.lastname: Borges
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D048909:Diabetes Complications / Q000401:mortality / Q000517:prevention & control*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000401:mortality* / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000401:mortality* / Q000628:therapy; D004812:Epidemiologic Methods; D005260:Female; D005313:Fetal Death / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D008991:Monitoring, Physiologic / Q000592:standards; D009035:Mothers / Q000706:statistics & numerical data; D054238:Perinatal Mortality; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011254:Pregnancy in Diabetics / Q000401:mortality* / Q000628:therapy