دورية أكاديمية
أعرض في EDS

[Diagnostic, therapeutic, and prognostic features of gestational diabetes at the Sylvanus Olympio University Hospital Center].

التفاصيل البيبلوغرافية
العنوان: [Diagnostic, therapeutic, and prognostic features of gestational diabetes at the Sylvanus Olympio University Hospital Center].
عنوان ترانسليتريتد: Aspects diagnostiques, thérapeutiques et pronostiques du diabète gestationnel au Centre Hospitalier Universitaire Sylvanus Olympio.
المؤلفون: Djagadou KA; Service de Médecine Interne, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo., Tchamdja T; Service de Médecine Interne, Faculté des Sciences de la Santé, Université de Kara, Kara, Togo., Némi KD; Service de Médecine Interne, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo., Balaka A; Service de Médecine Interne, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo., Djibril MA; Service de Médecine Interne, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
المصدر: The Pan African medical journal [Pan Afr Med J] 2019 Sep 10; Vol. 34, pp. 18. Date of Electronic Publication: 2019 Sep 10 (Print Publication: 2019).
نوع المنشور: Journal Article
اللغة: French
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Pregnancy Outcome*, Cesarean Section/*statistics & numerical data , Diabetes, Gestational/*diagnosis, Adult ; Apgar Score ; Diabetes, Gestational/therapy ; Female ; Glucose Tolerance Test ; Hospitals, University ; Humans ; Infant, Newborn ; Mass Screening/methods ; Obesity/epidemiology ; Pregnancy ; Prognosis ; Retrospective Studies ; Risk Factors ; Young Adult
مستخلص: Introduction: The purpose of this study was to describe the diagnostic, prognostic and therapeutic features of gestational diabetes at the Sylvanus Olympio University Hospital Center.
Methods: We conducted a retrospective descriptive study over a period of 5 years from 1 st January 2013 to 31 st December 2017. It involved 125 pregnant women who had given birth in the Department of Internal Medicine and in the Gyneco-Obstetric Department.
Results: The average age of patients was 30.84±4.17 years. The most common risk factors were overweight and obesity (57.7%), a family history of diabetes (33.3%), a history of spontaneous miscarriage (26.6%), a history of fetal death in utero (15.5%) and a history of gestational diabetes (8.8%). Gestational diabetes screening was performed using fasting blood glucose test and 75g oral glucose-tolerance test. Diagnosis was made in the first quarter in 55.6% of cases, in the second quarter in 33.3% and in the third quarter in 11.1%. Insulin therapy was necessary in 24.4% of cases and a healthy meal-plan alone in 66.6%. Sixty-six point seven percent (66.7%) of women had given birth by cesarean section and 33.3% vaginally. Maternal complications at birth included: arterial hypertension (22.2%), preeclampsia (17.7%) and premature ruptured membranes (2.2%). Newborn complications included macrosomia (48.9%), prematurity (11.1%), hypoglycaemia (11.1%), malformations (4.4%) and stillborn child (4.4%). Eighty-eight point nine percent (88.9%) of newborns had Apgar score greater than 7 and more than 48% were macrosomes.
Conclusion: Gestational diabetes leads to maternofetal complications. Systematic screening is essential even in the absence of risk factors for optimal patient management.
Competing Interests: Les auteurs ne déclarent aucun conflit intérêts.
(© Kodjo Agbeko Djagadou et al.)
References: J Gynecol Obstet Biol Reprod (Paris). 2002 Oct;31(6 Suppl):4S3-4S10. (PMID: 12451352)
Gynecol Obstet Fertil. 2007 Sep;35(9):724-30. (PMID: 17702623)
Diabetes Metab. 1996 Oct;22(5):359-63. (PMID: 8963961)
فهرسة مساهمة: Keywords: Gestational diabetes; Lomé; complications; diagnostic
تواريخ الأحداث: Date Created: 20191126 Date Completed: 20191225 Latest Revision: 20231019
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6859047
DOI: 10.11604/pamj.2019.34.18.18917
PMID: 31762887
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2019.34.18.18917