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Specific features of pregnancy evolution and delivery in pregnant women with diabetes mellitus

By Anatolie Serbenco

Abstract

Gatedra Obstetrică şi Ginecologie, FECMF, USMF “N. Testemiţanu”Pregnancy and delivery evolution in 55 patients with diabetes mellitus was studied in 2004 – 2010 with gave birth at the Institute of Helth Protection and Research of Mother and Child. The pregnancy developed on a gynecological and somatically complicated bachground. The obstetric pathology was practically revealed in every patients with diabetes mellitus: the imminence of abortion and premature birth in 12(21,8%), iron defficience anemia in 23(41,8%), polyhidroamnios in 14(25,4%), fetoplacental insufficiency in 18(32,7%) patients. The most preferred method of solving the pregnancy was cesarian which was performed in 48(87,3%) of pregnancy 35-37 weeks. Most of the babies (69,1%) were born with immaturity signs of diabetic fetopathy 17(30,9%) of babies, with pulmonary pathology (cogenital pneumopathy and pneumonia) 9(16,4%) with jaundice and hyperbilirubinemia 14(25,5%), and macrosomia 11(20%) of babies. Prophylaxis of respiratory insufficiency was performed with dexametasone according to the scheme for patients with the pregnancy of less than 34 weehs. It is recommended for the gravidas with diabetes mellitus to be refered to the Research Institute for Mother and Child Heeth Protection to solve the problem of the III level pregnancy. A fost studiată evoluţia sarcinii şi naşterii la 55 paciente cu diabet zaharat care în anii 2004- 2010 au născut în maternitatea ICŞDOSMC. Sarcina la aceste paciente a evaluat pe un fundal a statutului ginecologic şi somatic complicat. Patologia obstetricală s-a depistat practic la fiecare pacientă cu diabet zaharat: iminenţa de avort şi naştere prematură la 12(21,8%), anemia fierodeficitară la 23(41,8%), polihidroamniosul la 14(25,4%), insuficienţa fetoplacentară la 18(32,7%) paciente. Metoda preferenţială de rezolvare a sarcinii a fost operaţia cezariană care s-a efectuat la 48(87,3%) gravide la termenul optimal de sarcină 35-37 săptîmîni. Marea majoritate a copiilor (69,1%) sau născut cu semne de imaturitate, cu semne de fetopatie diabetică au fost 17(30,9%) copii, cu patologie pulmonară (pnevmopatie şi pneumonie congenitală) 9(16,4%), cu icter şi hiperbilirubinemie 14(25,4%), cu macrosomie 11(20,0%) copii. Profilaxia detresei respiratorii cu dexametazonă s-a efectuat, conform schemei, pacientelor cu vîsta de sarcină de pină la 34 săptămîni. Se recomandă referirea gravidelor cu diabet zaharat pentru rezolvarea sarcinii la nivelul III – maternitatea ICŞDOSMC

Publisher: CEP Medicina
Year: 2011
OAI identifier: oai:repository.usmf.md:123456789/4649
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