Diabetes Management Delivery and Pregnancy Outcomes in Women with Gestational Diabetes Mellitus during the First Wave of the 2020 COVID-19 Pandemic: A Single-Reference Center Report

Autor:	Joanna Zięba-Parkitny, Bartłomiej Matejko, Hubert Huras, Paulina Surowiec, Maciej T. Malecki, Katarzyna Cyganek, Albert Wróbel, Magdalena Wilk
Rok vydání:	2021
Předmět:	Adult Blood Glucose Male medicine.medical_specialty Article Subject Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 0302 clinical medicine Endocrinology Pregnancy Diabetes management Diabetes mellitus Humans Medicine 030212 general & internal medicine Pandemics Retrospective Studies Glycemic SARS-CoV-2 business.industry Obstetrics Incidence (epidemiology) Medical record Infant Newborn Pregnancy Outcome COVID-19 Disease Management Retrospective cohort study RC648-665 medicine.disease Telemedicine Gestational diabetes Diabetes Gestational Female Poland business Research Article
Zdroj:	Journal of Diabetes Research Journal of Diabetes Research, Vol 2021 (2021)
ISSN:	2314-6753 2314-6745
DOI:	10.1155/2021/5515902
Popis:	Objectives. The COVID-19 pandemic has forced a rapid adaptation of healthcare services to secure care for many patient groups. This includes women with gestational diabetes mellitus (GDM). We evaluated the impacts of the first COVID-19 wave on parameters such as the GDM treatment, glycemic control, and pregnancy outcomes. Methods. In this retrospective study from a reference diabetes center (Krakow, Poland), we compared patient data from two different time periods: the first wave of the COVID-19 pandemic (March 2020–June 2020) and the preceding five months (October 2019–February 2020). Data was collected from the medical records and telephone surveys. Results. We included 155 consecutive women (group N 1 = 73 and group N 2 = 82 from the COVID-19 pandemic period and non-COVID-19 period, respectively). During the COVID-19 pandemic, almost half of all GDM women ( N 1 = 36 , 49.3%) used telemedicine as a method of contacting their diabetic specialists while this tool was not utilized in the earlier period. Moreover, these patients reported difficulties in performing blood glucose self-control more often ( N 1 = 20 , 27.4%, vs N 2 = 7 , 8.5%; p ≤ 0.01 ) and spent less time on diabetes education than the control group on average ( N 1 = 39 , 53.4%, vs N 2 = 9 , 9.8% below 2 hours of training; p ≤ 0.01 ). Most analyzed glycemic parameters and pregnancy outcomes were similar. Differences were found with respect to the incidence of prolonged labor ( N 1 = 12 , 16.4%, vs N 2 = 3 , 3.7%; p ≤ 0.01 ) and preeclampsia ( N 1 = 0 vs N 2 = 7 , 8.5%; p = 0.01 ). Conclusion. In this single-center observational study, the first wave of the COVID-19 pandemic did not seem to have a negative impact on pregnancy outcomes in GDM women, despite the difficulties in diabetes management delivery.
Databáze:	OpenAIRE
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