Assess the results of screening and treatment for gestational diabetes mellitus at Da Nang Women’s Hospital

Abstract

Objective: To assess maternal and fetal outcomes in patients with gestational diabetes mellitus. Patients and Methods: A cross sectional prospective study was conducted at the Da Nang Women’s Hospital, during the period from march 1, 2013, through february 28, 2014. During this period, 669 pregnant women were screened. Screen for undiagnosed type 2 diabetes at the first prenatal visit in thosewith risk factors, using standard diagnostic criteria. screen with strategie “two-step” for gdm at 24–28 weeks of gestation in pregnant women not previously known to have diabetes. Screen women with GDM for persistent diabetes at 6–12 weekspostpartum, using the HGPO and nonpregnancy diagnostic criteria. Results: The rate of gestational diabetes mellitus about 5,23% of pregnancies in Da Nang. The rate of glucose intolerance is 4,78%. About 62,86% of GDM need insulin treatement. The prevalence of caesarean sections was increased in the study group. Macrosomia newborns rate were high (11,42%) but the rate of admission into neonatal unit and the prevalence of obstetrical and neonatal outcomes were not significantly. The “cut-off’’ value of blood glucose levels for o’sullivan test is 7,91 mmol/l. Conclusion: Active management of gestational diabetes mellitus is associated with low maternal and perinatal morbidity.