PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES:
RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND
POSTPARTUM CARE

a 2017

PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE

BARTÁKOVÁ, Vendula; Beáta BARÁTOVÁ; Kristýna WÁGNEROVÁ; Veronika ŤÁPALOVÁ; Petr JANKŮ et al.

Základní údaje

Originální název

PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE

Autoři

BARTÁKOVÁ, Vendula ; Beáta BARÁTOVÁ; Kristýna WÁGNEROVÁ; Veronika ŤÁPALOVÁ; Petr JANKŮ a Kateřina KAŇKOVÁ

Vydání

The 9th International Symposium on Diabetes, Hypertension, Metabolic Syndrome and Pregnancy, Barcelona, Spain, 2017

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30202 Endocrinology and metabolism

Stát vydavatele

Španělsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

gestační diabetes mellitus; těhotenství; porušená glukózová tolerance; perinatální morbidita

Klíčová slova anglicky

gestational diabetes mellitus; delivery; peripartal data; obesity; diabetes in pregnancy

Příznaky

Mezinárodní význam

Změněno: 16. 3. 2017 15:21, MUDr. Vendula Bartáková, Ph.D.

Anotace

V originále

Objectives: Previous studies indicate, that gestational diabetes mellitus (GDM) might be etiopathogenetically diverse metabolic abnormality posing unequal risks and for distinct subgroups of GDM women at the time of delivery and postpartum. We therefore retrospectively classified cohort of GDM women into “high” and “low” risk and conducted case-control study to compare (i) the incidence of peripartal morbidity and (ii) to analyse the potential effect of selected comorbidities (i.e. obesity, hypertension, thyreopathy, polycystic ovary syndrome, trombophylia, anemia, allergy and smoking) on pregnancy outcomes. Methods: Using a cohort of 364 women with GDM following parameters were assessed: ultrasound examination before delivery, gestational week, duration of labour, need for induction, perinatal complications, post-delivery complications, section, abnormity in pH, base excess, Apgar score, offspring’s birth weight. GDM was diagnosed by oGTT test in 24-28th week of gestation. Criteria for “high risk” GDM group were: BMI ≥30kg/m2, hypertension in pregnancy, need for insulin therapy, macrosomia, weight gain during pregnancy ≥20kg. Results: “High risk” GDM subgroup revealed significantly more frequent labour inductions (P=0.0004), Caesarean sections (P=0.0017) and instrumental deliveries (P=0.0013, all chi-square test). New-borns of “high risk” GDM mothers had significantly more often worse perinatal outcomes (Apgar score and macrosomia, chi-square test). Conclusion: Risk stratification of GDM subjects appears justified and might be a reliable tool for personalisation of prenatal and obstetric care. The possibility to predict also maternal postpartum metabolic outcomes using such risk stratification is a subject of our ongoing studies. Acknowledgement: Grant of Czech Ministry of Health no. 16-28040A

Návaznosti

NV16-28040A, projekt VaV

Název: Dlouhodobé dopady gestačního diabetes mellitus pro metabolické zdraví žen časně postpartum: význam nových diagnostických kritérií

Citovat

BARTÁKOVÁ, Vendula; Beáta BARÁTOVÁ; Kristýna WÁGNEROVÁ; Veronika ŤÁPALOVÁ; Petr JANKŮ a Kateřina KAŇKOVÁ. PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE. In The 9th International Symposium on Diabetes, Hypertension, Metabolic Syndrome and Pregnancy, Barcelona, Spain. 2017.

@proceedings{1375690,
   author = {Bartáková, Vendula and Barátová, Beáta and Wágnerová, Kristýna and Ťápalová, Veronika and Janků, Petr and Kaňková, Kateřina},
   booktitle = {The 9th International Symposium on Diabetes, Hypertension, Metabolic Syndrome and Pregnancy, Barcelona, Spain},
   keywords = {gestational diabetes mellitus; delivery; peripartal data; obesity; diabetes in pregnancy},
   language = {eng},
   title = {PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE},
   url = {http://www.comtecmed.com/dip/2017/},
   year = {2017}
}

TY  - CONF
ID  - 1375690
AU  - Bartáková, Vendula - Barátová, Beáta - Wágnerová, Kristýna - Ťápalová, Veronika - Janků, Petr - Kaňková, Kateřina
PY  - 2017
TI  - PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE
KW  - gestational diabetes mellitus
KW  - delivery
KW  - peripartal data
KW  - obesity
KW  - diabetes in pregnancy
UR  - http://www.comtecmed.com/dip/2017/
N2  - Objectives: Previous studies indicate, that gestational diabetes mellitus (GDM) might be etiopathogenetically diverse metabolic abnormality posing unequal risks and for distinct subgroups of GDM women at the time of delivery and postpartum. We therefore retrospectively classified cohort of GDM women into “high” and “low” risk and conducted case-control study to compare (i) the incidence of peripartal morbidity and (ii) to analyse the potential effect of selected comorbidities (i.e. obesity, hypertension, thyreopathy, polycystic ovary syndrome, trombophylia, anemia, allergy and smoking) on pregnancy outcomes. Methods: Using a cohort of 364 women with GDM following parameters were assessed: ultrasound examination before delivery, gestational week, duration of labour, need for induction, perinatal complications, post-delivery complications, section, abnormity in pH, base excess, Apgar score, offspring’s birth weight. GDM was diagnosed by oGTT test in 24-28th week of gestation. Criteria for “high risk” GDM group were: BMI ≥30kg/m2, hypertension in pregnancy, need for insulin therapy, macrosomia, weight gain during pregnancy ≥20kg. Results: “High risk” GDM subgroup revealed significantly more frequent labour inductions (P=0.0004), Caesarean sections (P=0.0017) and instrumental deliveries (P=0.0013, all chi-square test). New-borns of “high risk” GDM mothers had significantly more often worse perinatal outcomes (Apgar score and macrosomia, chi-square test). Conclusion: Risk stratification of GDM subjects appears justified and might be a reliable tool for personalisation of prenatal and obstetric care. The possibility to predict also maternal postpartum metabolic outcomes using such risk stratification is a subject of our ongoing studies. Acknowledgement: Grant of Czech Ministry of Health no. 16-28040A
ER  -

BARTÁKOVÁ, Vendula; Beáta BARÁTOVÁ; Kristýna WÁGNEROVÁ; Veronika ŤÁPALOVÁ; Petr JANKŮ a Kateřina KAŇKOVÁ. PREGNANCY OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES: RISK-STRATIFICATION AS A TOOL TO OPTIMISE PERIPARTAL AND POSTPARTUM CARE. In \textit{The 9th International Symposium on Diabetes, Hypertension, Metabolic Syndrome and Pregnancy, Barcelona, Spain}. 2017.

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