Revisiting type II diabetes mellitus in pregnancy and pregnancy outcomes such as in thyroidology: do you mind?

Autor: Jovana Todorovic, Stefan Dugalic, Demet Sengul, Dejana Stanisavljevic, Dzenana A. Detanac, Ilker Sengul, Eduardo Carvalho de Arruda Veiga, Zorica Terzic-Supic, Biljana Đurić, Miroslava Gojnic
Rok vydání: 2023
Předmět:
Zdroj: Revista da Associação Médica Brasileira, Volume: 69, Issue: 3, Pages: 447-451, Published: 10 MAR 2023
ISSN: 1806-9282
0104-4230
DOI: 10.1590/1806-9282.20221371
Popis: SUMMARY OBJECTIVE: There is an increase in the prevalence of pre-gestational diabetes in the past decades, mainly due to the increase in the prevalence of obesity in the general population and consequently type 2 diabetes among women of reproductive age. METHODS: This study purposed to describe the delivery characteristics, pregnancy complications, and outcomes among women in Serbia with the pre-gestational type 2 diabetes in the past decade, as well as their pregnancy complications, deliveries, and neonatal outcomes. The study included data from all the pregnant women with pre-gestational type 2 diabetes in Belgrade, Serbia during the period between 2010 and 2020. The final sample consisted of 138 patients. RESULTS: More than half, i.e., 70 (50.7%) had a vaginal delivery, while 48 (34.8%) had elective and 20 (14.5%) had emergency caesarean sections. Throughout the period, there was 1 patient with preeclampsia (0.7%), 5 with pregnancy-induced hypertension (3.6%), 7 had newborns with small for gestational age (5.1%), 28 with macrosomia (20.3%), 12 (8.7%) had preterm births, and one-fifth, i.e., 28 (20.3%) of the newborns had Apgar score under 8. CONCLUSION: The present study revealed that women with type 2 diabetes in pregnancy have a significant burden of pregnancy complications, related to pregnancy, delivery, and newborns.
Databáze: OpenAIRE