Impact Analysis Of The Treatment Of Gestational Diabetes On Pregnancy Outcome

Objective:Through the analysis of gestational diabetes mellitus(GDM) pregnantglycemic control in pregnancy outcomes and clarify the great significance of earlydiagnosis and reasonable treatment to improve the perinatal outcome.Methods：Group: Select the175cases of Gestational diabetes mellitus patients whombe diagnosed and treated from General Hospital of Beijing Military Region during theFebruary2011to August2012. According to the control of blood glucose,The caseswere divided into satisfactory group (a group) of144patients and unsatisfactory group (bgroup) of31patients based on the level of blood glucose, The group B included2caseswhich were confirmed before delivery with gestational diabetes mellitus(GDM),150Cases with normal pregnancy as a control group(c group) and compare the maternalcomplications and perinatal morbidity between the three groups to analyze therelationship those results with diagnosis and treatment.Results: We can draw the following results, after clinical intervention therapy.1. General comparison during pregnancy①The pre-pregnancy body mass index (BMI) and pregnant women age of satisfactorygroup (a group) compared with the control group(c group), the difference wasstatistically significant (P<0.05); the gestational age of two groups were no significantdifference (P>0.05).②The pre-pregnancy body mass index (BMI), the gestational age and pregnant womenage of unsatisfactory group (b group) compared with the control group(c group), thedifference was statistically significant (P<0.05).③The gestational age of unsatisfactory group (b group) compared with satisfactorygroup (a group), the difference was statistically significant (P<0.05).2. Comparison of complications of the mothers①The rate of cesarean of satisfactory group (a group) compared with the control group(c group), the difference was statistically significant (P<0.05); prematuredelivery, placental abruption, premature rupture of membranes, polyhydramnios,hypertension of pregnancy, oligohydramnios and abnormal fetal position of two groupswere no significant difference (P>0.05).②The rate of cesarean, premature delivery, placental abruption, premature rupture ofmembranes, polyhydramnios, hypertension of pregnancy of unsatisfactory group (bgroup) compared with the control group(c group), the difference was statisticallysignificant (P<0.05); oligohydramnios and abnormal fetal position of two groups wereno significant difference (P>0.05).③The rate of cesarean, premature delivery, placental abruption, premature rupture ofmembranes, polyhydramnios, hypertension of pregnancy of unsatisfactory group (bgroup) compared with satisfactory group (a group), the difference was statisticallysignificant (P<0.05); oligohydramnios and abnormal fetal position of two groups wereno significant difference (P>0.05).3. Comparison of complications of the fetus①The fetal macrosomia, neonatal hypoglycemia, neonatal asphyxia, intrauterine growthretardation and fetal distress of satisfactory group (a group) compared with the controlgroup(c group), the difference was no significant difference (P>0.05).②The fetal macrosomia and neonatal hypoglycemia of of unsatisfactory group (b group)compared with the control group(c group), the difference was statistically significant(P<0.05); neonatal asphyxia, intrauterine growth retardation and fetal distress of twogroups were no significant difference (P>0.05).③The fetal macrosomia, neonatal hypoglycemia and fetal distress of unsatisfactorygroup (b group) compared with satisfactory group (a group), the difference wasstatistically significant (P<0.05); neonatal asphyxia and intrauterine growth retardationof two groups were no significant difference (P>0.05).Conclusion: the incidence of polyhydramnios, fetal distress, placental abruption,premature rupture of membranes,hypertension of pregnancy, cesareansection,Macrosomia, neonatal asphyxia, neonatal hypoglycemia with satisfactory group(a group) was lower than unsatisfactory group (b group). The child-bearing age shouldnot be too late, the women will weight down to normal levels can reduce the incidenceof GDM before pregnancy. We should pay attention to diagnosis and treatment ofgestational diabetes screening and control the blood glucose strictly can effectively reduce the incidence of complications of the mothers and fetus...