Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe

Gestational Diabetes (GD) is the most frequent metabolic alteration associated with pregnancy and the Child of a Gestational Diabetic Mother (CGDM) presents a greater probability of neonatal complications. The main objective of this work is to determine the prevalence of neonatal disorders in CGDM....

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Detalles Bibliográficos
Autores principales: Redondo, Fernando, Carrera, Liza, Costa, Lucas, Contini, Daniel, Falcó, Omar
Formato: Artículo revista
Lenguaje:Español
Publicado: Ediciones UNL 2023
Materias:
Diabetes Gestacional
Morbilidad Neonatal
Defectos Congénitos
Gestational Diabetes
Neonatal Morbidity
Congenital Defects
Acceso en línea:https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/sigme/article/view/13071
Aporte de:
Biblioteca Virtual - Publicaciones (UNL) de Universidad Nacional del Litoral
id I26-R133-article-13071
record_format ojs
institution Universidad Nacional del Litoral
institution_str I-26
repository_str R-133
container_title_str Biblioteca Virtual - Publicaciones (UNL)
language Español
format Artículo revista
topic Diabetes Gestacional
Morbilidad Neonatal
Defectos Congénitos
Gestational Diabetes
Neonatal Morbidity
Congenital Defects
spellingShingle Diabetes Gestacional
Morbilidad Neonatal
Defectos Congénitos
Gestational Diabetes
Neonatal Morbidity
Congenital Defects
Redondo, Fernando
Carrera, Liza
Costa, Lucas
Contini, Daniel
Falcó, Omar
Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
topic_facet Diabetes Gestacional
Morbilidad Neonatal
Defectos Congénitos
Gestational Diabetes
Neonatal Morbidity
Congenital Defects
author Redondo, Fernando
Carrera, Liza
Costa, Lucas
Contini, Daniel
Falcó, Omar
author_facet Redondo, Fernando
Carrera, Liza
Costa, Lucas
Contini, Daniel
Falcó, Omar
author_sort Redondo, Fernando
title Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
title_short Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
title_full Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
title_fullStr Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
title_full_unstemmed Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe
title_sort morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de santa fe
description Gestational Diabetes (GD) is the most frequent metabolic alteration associated with pregnancy and the Child of a Gestational Diabetic Mother (CGDM) presents a greater probability of neonatal complications. The main objective of this work is to determine the prevalence of neonatal disorders in CGDM. We conducted this case-control study at the Perinatology Center of Santa Fe, from January 10th, 2017 to January 8th 2018. Population was made up of 254 patients: 127 newborns CGDM (cases) and 127 controls newborns CnDM (children of non-diabetic mothers). All newborns were examined by neonatologists and studied with color Doppler echocardiography. Neonatal complications were measured and compared in both groups. We observed: 1) Metabolic morbidity in exposed newborns: 25.9% vs 7.08%, OR: 4.6; 95%CI: 2.09-10.09), p<0.001. 2) Respiratory Morbidity 18.1% vs 7.08% OR: 2.85; 95% CI: 1.26-6.43) p<0.001. 3) Neonatal Hospitalization 26.6% vs 5.5% in the control group OR: 6, CI: 2.54-14.2, p= 0.0001. 4) Congenital defects, including congenital heart disease, no significant differences were observed between the groups studied. The most frequent metabolic disorder was Neonatal Hypoglycemia (11.8% vs 4.7%) OR: 2.7; CI: 1.01- 7.2 p= 0.04. Transient Respiratory Distress Syndrome (10.2 vs 3.1%) OR: 3.5 CI: 1.11-11.06) p=0.01. In summary: CGDMs presented greater metabolic and respiratory morbidity and neonatal hospitalization. GD is a prevalent disease, so it is necessary to approach these pregnant women comprehensively with adequate prenatal check-ups and the willingness of the health team for neonatal care.
publisher Ediciones UNL
publishDate 2023
url https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/sigme/article/view/13071
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spelling I26-R133-article-130712023-11-12T10:44:34Z Morbilidad neonatal asociada a diabetes gestacional en un centro perinatológico de Santa Fe Redondo, Fernando Carrera, Liza Costa, Lucas Contini, Daniel Falcó, Omar Diabetes Gestacional Morbilidad Neonatal Defectos Congénitos Gestational Diabetes Neonatal Morbidity Congenital Defects Gestational Diabetes (GD) is the most frequent metabolic alteration associated with pregnancy and the Child of a Gestational Diabetic Mother (CGDM) presents a greater probability of neonatal complications. The main objective of this work is to determine the prevalence of neonatal disorders in CGDM. We conducted this case-control study at the Perinatology Center of Santa Fe, from January 10th, 2017 to January 8th 2018. Population was made up of 254 patients: 127 newborns CGDM (cases) and 127 controls newborns CnDM (children of non-diabetic mothers). All newborns were examined by neonatologists and studied with color Doppler echocardiography. Neonatal complications were measured and compared in both groups. We observed: 1) Metabolic morbidity in exposed newborns: 25.9% vs 7.08%, OR: 4.6; 95%CI: 2.09-10.09), p<0.001. 2) Respiratory Morbidity 18.1% vs 7.08% OR: 2.85; 95% CI: 1.26-6.43) p<0.001. 3) Neonatal Hospitalization 26.6% vs 5.5% in the control group OR: 6, CI: 2.54-14.2, p= 0.0001. 4) Congenital defects, including congenital heart disease, no significant differences were observed between the groups studied. The most frequent metabolic disorder was Neonatal Hypoglycemia (11.8% vs 4.7%) OR: 2.7; CI: 1.01- 7.2 p= 0.04. Transient Respiratory Distress Syndrome (10.2 vs 3.1%) OR: 3.5 CI: 1.11-11.06) p=0.01. In summary: CGDMs presented greater metabolic and respiratory morbidity and neonatal hospitalization. GD is a prevalent disease, so it is necessary to approach these pregnant women comprehensively with adequate prenatal check-ups and the willingness of the health team for neonatal care. La diabetes gestacional (DG) es la alteración metabólica más frecuente asociada al embarazo y el hijo de madre diabética gestacional (HMDG) presenta mayor probabilidad de complicaciones neonatales. El objetivo principal de este trabajo es determinar la prevalencia de trastornos neonatales en HMDG. Realizamos este estudio de casos y controles en el Centro Perinatológico de Santa Fe, desde el 01/10/2017 hasta el 01/08/2018. Población conformada por 254 pacientes: 127 RN HMDG (casos) y 127 controles RN HMnD (hijos de madre no diabética). Todos los RN fueron examinados por neonatólogos y estudiados con Ecocardiografía Doppler color. Se midieron y compararon las complicaciones neonatales en ambos grupos.  Observamos: 1) Morbilidad Metabólica en los RN expuestos: 25,9% vs 7,08%, OR: 4,6; IC95%: 2,09-10,09), p<0,001. 2) Morbilidad Respiratoria 18,1% vs 7,08% OR: 2,85; IC 95%: 1,26- 6,43) p<0,001. 3) Hospitalización Neonatal 26,6% vs 5,5% en el grupo control OR: 6, IC: 2,54-14,2, p= 0,0001. 4) Defectos Congénitos, incluidas cardiopatías congénitas, no se observaron diferencias de significación entre los grupos estudiados. El trastorno metabólico más frecuente fue hipoglucemia neonatal (11,8% vs 4,7%) OR: 2,7; IC: 1,01- 7.2 p= 0,04. síndrome de dificultad respiratoria transitoria (10,2 vs 3,1 %) OR: 3,5 IC: 1,11-11,06) p=0,01. En suma: los HMD presentaron mayor morbilidad metabólica, respiratoria y hospitalización neonatal. DG es una enfermedad prevalente, por lo que es necesario el abordaje integral de estas gestantes con los adecuados controles prenatales y la disposición del equipo de salud para la asistencia neonatal.  Ediciones UNL 2023-11-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/sigme/article/view/13071 10.14409/sigme.2023.1.e0004 SigMe; Núm. 1 (2023): Sigme; e0004 3008-8917 3008-7546 10.14409/sigme.2023.1 spa https://bibliotecavirtual.unl.edu.ar/publicaciones/index.php/sigme/article/view/13071/18083 Derechos de autor 2023 Fernando Redondo, Liza Carrera, Lucas Costa, Daniel Contini, Omar Falcó https://creativecommons.org/licenses/by-nc-sa/4.0

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