Examinando por Materia "Gestational diabetes"

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Acceso abierto
Gestational diabetes, a risk factor for perinatal complications
(Universidad Privada Norbert Wiener, 2022-09-18) Donaires Peralta, Patricia Fiorela; Caldas Herrera, Maria Evelina
Objective: To determine if gestational diabetes is a risk factor for perinatal complications according to a narrative review. Design: The study was a qualitative narrative review, where a digital search was conducted for various articles related to gestational diabetes and perinatal complications. Study area: For this narrative review, a methodical collection of scientific articles published in different academic databases was carried out. Periodical publications from various journals were also considered. Cohort and case-control articles were selected for the study. Furthermore, the studies included were articles published from 2018 to 2021. Study subjects: Thirty scientific articles were considered for this study, which met the criteria. Conclusion: Based on the evidence from this review, it is affirmed that gestational diabetes is a risk factor for perinatal complications, and this condition can worsen if the woman had a previous episode of diabetes before pregnancy.
Acceso abierto
Importance of cardiotocography and its interpretation in gestational diabetes"
(Universidad Privada Norbert Wiener, 2019-06-28) Villanueva Arequipeño, Liz Soledad; Fernández Ledesma, Scarlett Estela
To present the clinical case of a 39-year-old pregnant woman, multigravida at 37.3 weeks according to second-trimester ultrasound, with no prior history of diabetes or family history of diabetes. However, her obstetric history included fetal death, spontaneous abortion, and hospitalization one month earlier for uncontrolled gestational diabetes. The patient presented to the emergency department of a healthcare institution on August 26, 2017, at 10:24 a.m. due to decreased fetal movements for two days. Two fetal well-being tests were performed: a non-stress test (NST) with a non-reassuring pattern and a biophysical profile (BPP) indicating 37 weeks of gestation with a score of 6/8, nuchal cord, and an estimated fetal weight of 3329 grams. Blood glucose was 63 mg/dL. An endocrinology consultation recommended continuous glucose monitoring, dietary adjustments, and insulin treatment. With these clinical findings, the patient was transferred to the delivery room, where a stress test (CST) yielded unsatisfactory results. At 10:44 p.m., due to the absence of an indication for delivery and a glucose level of 62 mg/dL, the on-duty physician recommended hospitalization. Fetal heart rates were monitored every three hours during the night and found to be normal. However, at 8:00 a.m., fetal heart sounds were absent, confirmed by ultrasound, leading to an abdominal delivery. Operative findings: fetal death, female fetus, APGAR 0/0, Capurro: 37 weeks, weight: 3280 grams, placenta: 500 grams with complete cotyledons, intact membranes, thick meconium-stained amniotic fluid in small quantities, and a slightly tightened single nuchal cord. Conclusion: Proper recording and interpretation of cardiotocographic parameters in electronic fetal monitoring in diabetic pregnant women are crucial to identifying fetal risks, ensuring timely management, and preventing maternal and perinatal complications.
Acceso abierto
Risk factors for macrosomia in pregnant women, 2020
(Universidad Privada Norbert Wiener, 2021-08-04) Mercado Castillo, Rosa María Isidora; Alfaro Fernández, Paul Rubén
Objective: To conduct a review of publications on the risk factors influencing macrosomia. Materials and Methods: A systematic review of 20 primary original studies was conducted using databases such as Pubmed, Scielo, and Cochrane. Each study was examined to determine its strength and quality of evidence according to the Grade scale. Results: The review of 20 scientific articles on risk factors for macrosomia in pregnant women was performed using specialized search engines such as Pubmed, Scielo, and Cochrane. The studies were categorized into systematic review design, cohort studies (10%, 2 articles), case-control studies (85%, 17 articles), and systematic review (5%, 1 article). Conclusions: Analyzing the evidence from the publications, 70% (14/20) were related to gestational weight as a fetal risk factor for macrosomia. Additionally, gestational diabetes (GD) was present in 30% (6/20) of the systematic reviews analyzed, identifying it as another significant risk factor for fetal macrosomia.
Acceso abierto
Usefulness of the non-stressful test in the surveillance of fetal well-being in pregnant women with diabetes. hospital The Mercedes-2018.
(Universidad Privada Norbert Wiener, 2021-09-09) Villarreal Aguinaga, Carmen; Ayala Peralta, Félix Dasio
This academic work aims to identify the parameters of the Non-Stress Test used in monitoring fetal well-being in a diabetic pregnant woman attended at Las Mercedes Hospital in 2018. The clinical case is of a pregnant woman who was admitted in an emergency with a history of fetal death and diabetes mellitus, diagnosed with: 29 weeks of gestation, vulvovaginitis, threatened preterm labor, and diabetes due to history. Laboratory tests confirmed uncontrolled diabetes, diabetic ketoacidosis, and urinary tract infection. Multidisciplinary treatment was initiated, with strict glycemic control and monitoring of fetal well-being. The initial Non-Stress Test showed a non-reactive pattern with silent variability, absence of accelerations, and decelerations. The clinical evolution of the patient was stable, but as metabolic control improved, variability improved, and a reactive pattern was obtained. The patient stayed for 45 days and after a medical meeting, a cesarean section was performed at 35 weeks, resulting in a female newborn weighing 2710 grams, with an APGAR score of 8 at one minute and 9 at five minutes. The patient was discharged in stable condition 48 hours after the cesarean. Conclusion: The usefulness of the Non-Stress Test for monitoring fetal well-being in diabetic pregnant women is evident.