Clinical analysis of 184 cases with gestational diabetes mellitus

Abstract

Objective To investigate the effect of gestational diabetes mellitus treatment to the pregnancy outcome. Methods from January 2005 to August 2008,there are 184 persons who were diagnosed as gestational diabetes mellitus (GDM) and then delivery in the hospital,they were divided into two groups with the glucose level satisfactorily controlled (Ⅰ group) and the glucose level unsatisfactorily controlled group(Ⅱ group)according to the treatment effect,the pregnancy outcome and delivery situation were compared between the, two groups.Results there were statistics difference with cesarean section rate,hypertensive disorders in pregnancy, fetal growth restriction,polyhydmmnios, postpartum hemorrhage ,fetal distress between the two groups (P<0.05), there were significant difference with premature delivery,puerperal infection,fetal macrosomia, neonatal asphyxia and neonatal nypoglycemia between the two groups (P<0.01), there were no significant difference with postpartum hemorrhage, puerperal infection,fetal distress, neonatal asphyxia and neonatal nypoglycemia between the two groups.Conclusions the blood glucose levels were controlled through reasonably standardized treatment in the pregnant women with gestational diabetes mellitus, the pregnancy outcome can be obviously improved, so we must to strengthen the management of GDM. Key words: Gestational diabetes mellitus; Pregnancy complication; Pregnancy outcome