دورية أكاديمية
[Diagnostic, therapeutic, and prognostic features of gestational diabetes at the Sylvanus Olympio University Hospital Center].
العنوان: | [Diagnostic, therapeutic, and prognostic features of gestational diabetes at the Sylvanus Olympio University Hospital Center]. |
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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 |
تدمد: | 1937-8688 |
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DOI: | 10.11604/pamj.2019.34.18.18917 |