Impact of different glycaemic treatment targets on pregnancy outcomes in gestational diabetes

Authors

  • Linying Ouyang Department of obstetrics Tangshan Maternal and Child Health Care Hospital
  • Ying Sun

Abstract

Background: Proper treatment of gestational diabetes can improve the outcome of pregnancy. While many women can achieve normal blood sugar with nutritional therapy alone, up to 30% require medication. The overall method for coping with the treatment of gestational diabetes is appreciated here.

Objective: we focused on birth weight and pregnancy outcomes and envisioned increasing ridicule for the effects of various treatments.

Materials and Methods: The membership survey was conducted by two major fertility organizations in the four northeastern states of India (Arunachal Pradesh, Assam, Manipur, and Meghalaya) from 2015 to 2020. Classified outcomes for mother, newborn, and birth were verified using routine medical information, and comparisons were made between women and GDM in data one (n = 3575) and data two (n = 2374). The competent authority applied a single treatment objective: data 1 (standard objective, control group) fasting <4.5 mmol / l after meals, 1.5 h <6.0 mmol / l; data 2 (strict objective) fasting <5.0 mmol / l, 1.5 h after meals <6.7 mmol / l. Multivariate relapse with propensity score was used to observe the relationship between goal and outcome.

Results: In data one, the usage rates of GDM and insulin were 6.2% and 28%, respectively, and in data two they were 5.5% and 42%. There is no difference in the basic results: birth weight is greater than most percentiles [adjusted odds ratio (OR) 1.01, 95% confidence index (CI) 0.87-1.30] and <10th percentile (OR 0.78, 95 %CI 0.70-1.01), or alternative outcomes, including pregnancy-induced hypertension, preeclampsia, shoulder dystocia or perinatal syndrome. The rigorous goal expands to data 2 (or on the other hand, 2.69, 95% CI: 3.174.16), elective cesarean section (OR 1.52, 95% CI: 1), 37-2.23 and work in Apgar Acceptance score <7 at 5 minutes (or on the other hand 1.37, 95% CI 1.05-2.25) and respiratory problems (OR 0.62, 95% CI 0.47-0.98),  reduces hypoglycemia (OR 0.52 , 95% CI 0.61-0.94]) and jaundice (OR 0.43, 95% CI 0.35 to 0.63).

Conclusion: A great deal of information about the intervention is needed before the goal of close treatment can be implemented.

Published

2022-04-21

How to Cite

Ouyang, L., & Sun, Y. . (2022). Impact of different glycaemic treatment targets on pregnancy outcomes in gestational diabetes. The Ethiopian Journal of Health Development. Retrieved from https://ejhd.org/index.php/ejhd/article/view/4034

Issue

Section

Original Articles