Comparación clinicográfica entre la diabetes pregestacional y gestacional

Abstract

A prospective, comparative, open, exploratory study was carried out of a sample of 30 subjects. These were divided into 2 groups. Group I consisted of preexisting diabetes, Group II of those with gestational diabetes. 1. Group I (n = 15). The patients age, have a mean of 29.87 years. The pregnancy age have a mean of 31.853 weeks. 2. Group II (n = 15). The patients age, have a mean of 30.60 years. The pregnancy age have a mean of 32.53 weeks. Uterine Contractility and Fetal Heart Rate registers were carried out with a Hewlett Packard Monitor model 1350, serie 50XM was used. The first study was 24 h before during admission. It was repeated within 24 h of discharge. The patients was her own control. This study lasted 2 h. At the same moment as the collection of these data, a sample of blood was taken to determine the level of HbA 1c, blood pressure, pulse rate, temperature and respiratory frequency were also recorded. In addition, the abdominal circumference and uterine height were measured and the fetal heart ascertained. SPSS and Student t test for ordered pairs of data were used for the statistical analysis. A comparative analysis of basal fetal heart rate (FHR) between 2 groups of patients those white preexisting diabetes and those with gestational diabetes. Group I, at admission to hospital the mean of the FHR was 147.48 beats/min. At discharge the FHR registered a mean of 143 beats/min. It we take into account the value of p < 0.000 the difference between means was significant. Group II, at admission the mean value of the FHR was 143.94 beats/min. At discharge the mean of the FHR was 142.26 beats/min. With a value of p < 0.000 the difference between means was significant. A comparative analysis the values of accelerations in the 2 groups was made. Group I, at admission the mean value of the acceleration was 23.72 beats. At discharge 24.56 beats, the difference was not significant. Group II, at admission the mean value of the acceleration was 20.75 beats, at discharge 22.19 beats. The difference was not significant. Glycemia: Group I at admission their glucose registered a mean value of 119.27 mg/dl at discharge, 112.20 mg/dl. Group II, at admission their glucose registered a mean value of 139.07 mg/dl, at discharge 119.50 mg/dl. HbA 1c the following readings were obtained: Group I, at admission the HbA 1c showed a mean 7.46% at discharge the mean was 7.354%. Group II, at admission the HbA 1c had a mean of 7.533% at discharge it was 6.68%. In the first group 12 newborns were vigorous in the first minute, they were judged to be in puntuation 7-8. Two were judged to be puntuation 2 and 6 respectively. In the fifth minute 13 of the children were progressing well, being in puntuation 8 and 9. The child judged to be in puntuation 2 at berth remained in health, in the fifth minute, the puntuation was 5. In the second group 11 of the newborns were judged to be in puntuation 7-9 in the first minute, and puntuation 8-9 in the fifth minute.