Gestational Diabetes and Preterm Birth: What Do We Know? Our Experience and Mini-Review of the Literature.

gestational diabetes mellitus maternal factors pregnancy preterm birth

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
09 Jul 2023
Historique:
received: 09 06 2023
revised: 28 06 2023
accepted: 06 07 2023
medline: 29 7 2023
pubmed: 29 7 2023
entrez: 29 7 2023
Statut: epublish

Résumé

Gestational diabetes mellitus (GDM) is a form of diabetes that develops during pregnancy. The incidence of GDM has been on the rise in tandem with the increasing prevalence of obesity worldwide. We focused on the study of what causes premature births and if there are methods to prevent these events that can result in long-term complications. This study was a prospective, non-interventional study that lasted for 4 years from December 2018 to December 2022. From the group of women enrolled in the study, we selected and analyzed the characteristics of women who gave birth prematurely. Additionally, we performed a systematic review examining the association between GDM and the frequency of adverse pregnancy outcomes. In total, 78% underwent an emergency caesarean and had polyhydramnios. The results indicate that women who had a preterm delivery had a significantly higher maternal age compared to those who had a term delivery ( In terms of the understanding of GDM and preterm birth, several gaps in our knowledge remain. The association between GDM and preterm birth is likely multifactorial, involving various maternal factors.

Sections du résumé

BACKGROUND BACKGROUND
Gestational diabetes mellitus (GDM) is a form of diabetes that develops during pregnancy. The incidence of GDM has been on the rise in tandem with the increasing prevalence of obesity worldwide. We focused on the study of what causes premature births and if there are methods to prevent these events that can result in long-term complications.
METHODS METHODS
This study was a prospective, non-interventional study that lasted for 4 years from December 2018 to December 2022. From the group of women enrolled in the study, we selected and analyzed the characteristics of women who gave birth prematurely. Additionally, we performed a systematic review examining the association between GDM and the frequency of adverse pregnancy outcomes.
RESULTS RESULTS
In total, 78% underwent an emergency caesarean and had polyhydramnios. The results indicate that women who had a preterm delivery had a significantly higher maternal age compared to those who had a term delivery (
CONCLUSIONS CONCLUSIONS
In terms of the understanding of GDM and preterm birth, several gaps in our knowledge remain. The association between GDM and preterm birth is likely multifactorial, involving various maternal factors.

Identifiants

pubmed: 37510687
pii: jcm12144572
doi: 10.3390/jcm12144572
pmc: PMC10380752
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Agnesa Preda (A)

Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.

Dominic-Gabriel Iliescu (DG)

Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.
Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.

Alexandru Comănescu (A)

Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.
Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.

George-Lucian Zorilă (GL)

Department of Obstetrics and Gynecology, University Emergency County Hospital Craiova, 200642 Craiova, Romania.
Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Craiova, 200349 Craiova, Romania.

Ionela Mihaela Vladu (IM)

Department of Diabetes, Nutrition and Metabolic Diseases, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of Diabetes, Nutrition and Metabolic Diseases, University Emergency County Hospital Craiova, 200642 Craiova, Romania.

Mircea-Cătălin Forțofoiu (MC)

Department of Medical Semiology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of Internal Medicine 2, "Philanthropy" Clinical Municipal Hospital of Craiova, 200143 Craiova, Romania.

Tiberiu Stefaniță Țenea-Cojan (TS)

Department of General Surgery, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Department of General Surgery, C.F. Clinical Hospital, 200374 Craiova, Romania.

Silviu-Daniel Preda (SD)

Department of Surgery, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Ileana-Diana Diaconu (ID)

Department of Pediatric Pneumology, "Marius Nasta" National Institute of Pneumophtisiology, 050159 Bucharest, Romania.
Doctoral School, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Eugen Moța (E)

Doctoral School, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Ioan-Ovidiu Gheorghe (IO)

Doctoral School, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Maria Moța (M)

Doctoral School, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Classifications MeSH