Improving neonatal complications with a structured multidisciplinary approach to gestational diabetes mellitus management
| Autor: | A Rahmani, B Afandi |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Neonatal intensive care unit endocrine system diseases Fetal Macrosomia Young Adult Patient Admission Pregnancy Multidisciplinary approach Intensive Care Units Neonatal medicine Fetal macrosomia Humans Retrospective Studies Patient Care Team Cesarean Section Obstetrics business.industry Incidence (epidemiology) Neonatal hypoglycemia Infant Newborn nutritional and metabolic diseases Retrospective cohort study medicine.disease Hypoglycemia Gestational diabetes Diabetes Gestational Pediatrics Perinatology and Child Health Emergency medicine Female Interdisciplinary Communication business |
| Zdroj: | Journal of Neonatal-Perinatal Medicine. 8:359-362 |
| ISSN: | 1878-4429 1934-5798 2005-2006 |
| DOI: | 10.3233/npm-15915014 |
| Popis: | Background Gestational Diabetes Mellitus (GDM) is a common condition that affects pregnant women and may result in maternal as well as fetal and neonatal complications. Optimal coordinated management may reduce these complications if applied in team approach following generally accepted international guidelines. Methods A retrospective analysis of the neonatal outcomes of GDM mothers who were followed in a tertiary medical center in the United Arab Emirates. The aim of the study was to assess the efficacy of a comprehensive and multidisciplinary GDM program which was applied to a quality improvement project. Clinical neonatal outcome indicators were compared at two time periods, one before the implementation in (2005-2006) and the other was following the initiation of this comprehensive multidisciplinary program in (2011-2012). Results Follow up results revealed increased caesarian section and admission to neonatal intensive care unit. There was decreased incidence of macrosomia and a significant reduction of neonatal hypoglycemia in the newborn of GDM mothers. Overall rate of neonatal complications showed a significant improvement. Conclusions Implementing a structured comprehensive multidisciplinary program to manage GDM women has a positive impact on improving the care and outcomes of neonates. |
| Databáze: | OpenAIRE |
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