Risk factors for constant glycemic variability in pregnant women: a case-control study

Grasiela Martins Barros,Helen Campos Ferreira,Beatriz Paiva e Silva de Souza,Priscilla Alfradique de Souza,Lyvia da Silva Figueiredo,Ana Carla Dantas Cavalcanti

doi:10.1590/0034-7167-2018-0983

Abstract

to identify the factors associated with pregnancy that influence constant glycemic variability. a case-control study with random sampling. The medical records of 417 pregnant women were divided into case group (200 pregnant women with constant glycemic variability) and control group (217 pregnant women without constant glycemic variability). Data were collected from 2009 to 2015. pregnant women aged 25 years and over, with family history of diabetes mellitus, with systemic arterial hypertension, overweightness or obesity, sedentarism and polycystic ovarian syndrome are more likely to present changes in blood glucose. The study demonstrated that risk factors associated with pregnancy increase the risk of constant glycemic variability. The findings will allow reassessment of the interventions during pregnancy, providing an increase in nursing care quality.

Highlights

METHODSDuring pregnancy, women’s metabolism presents alterations that facilitate fetal development, considering their specific necessities and the absorption[1,2]
In the search for a nursing diagnosis that describes the susceptibility to variation in glycemic levels during pregnancy, nurses can use the NANDA-International classification (NANDA-I), which presents the diagnosis Risk for Unstable Blood Glucose Level (00179) in domain 2 - nutrition and class 4 - metabolism, introduced in this classification in 2006 and modified in 2013(7)
The age statistics of the two groups were compared by the non-parametric Mann-Whitney test, which resulted in a p value

Summary

Introduction

METHODSDuring pregnancy, women’s metabolism presents alterations that facilitate fetal development, considering their specific necessities and the absorption[1,2]. There are metabolic disorders resulting from the pregnant woman’s health lifestyle, as well as the placental production of diabetogenic hormones that counteract the action of insulin, resulting in its resistance and causing variations to blood sugar levels in relation to normal parameters[1,2,3,4,5,6]. In the search for a nursing diagnosis that describes the susceptibility to variation in glycemic levels during pregnancy, nurses can use the NANDA-International classification (NANDA-I), which presents the diagnosis Risk for Unstable Blood Glucose Level (00179) in domain 2 - nutrition and class 4 - metabolism, introduced in this classification in 2006 and modified in 2013(7) This nursing diagnosis is defined as “susceptible variation in serum of glucose from the normal range, which may compromise health.”7:177. This study questions the existence of other factors that, associated with pregnancy, could cause this glycemic variation

Methods

Results

Conclusion