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[Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)].
Gynecol Obstet Fertil. 2007 Jun; 35(6):530-5.GO

Abstract

OBJECTIVE

To assess maternal and fetal outcomes in patients with gestational diabetes mellitus.

PATIENTS AND METHODS

A retrospective study was conducted at the Sud-Reunion Hospital's maternity (French overseas department located in the Indian Ocean), during the period from January 1, 2001, through December 31, 2004. During this period, 1172 pregnant women presenting gestational diabetes mellitus were compared with 1172 non-diabetic controls matched on the basis of age, parity. Student t test, Pearson chi-square test and logistic regression model were used for statistical analysis.

RESULTS

Gestational diabetes mellitus complicates about 7.5% of pregnancies in Reunion Island. Its occurrence was associated with a significantly increased prevalence of pre-pregnancy obesity (27 versus 9.4%) and chronic hypertension (5.3 versus 3.3%). The prevalence of preeclampsia and obstetrical vascular disorders were not different between the two groups, respectively 2.2 versus 2.7% (P=0.43) and 6.2 versus 4.4% (P=0.06). The rate of caesarean sections and inductions of labour was increased in the study group. The term of delivery was inferior in the study group, consecutive to increased rate of labour induction at 38 week-gestation. Macrosomia and large for gestational age (LGA) newborns rate were significantly higher in the study group, respectively 8.9 versus 4.2% and 22.5 versus 10.1% (P<0.001) but the rate of admission into neonatal unit was not significantly different.

DISCUSSION AND CONCLUSION

Active management of gestational diabetes mellitus is associated with low maternal and perinatal morbidity. While age and parity are controlled by the study design, the prevalence of preeclampsia and gestational hypertension are not increased in women presenting gestational diabetes mellitus.

Authors+Show Affiliations

Clinique Gynécologique et Obstétricale, Centre Hospitalier Universitaire de Rouen, Rouen, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

17531520

Citation

Vivet-Lefébure, A, et al. "[Obstetrical and Neonatal Outcomes of Gestational Diabetes Mellitus at Reunion Island (France)]." Gynecologie, Obstetrique & Fertilite, vol. 35, no. 6, 2007, pp. 530-5.
Vivet-Lefébure A, Roman H, Robillard PY, et al. [Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)]. Gynecol Obstet Fertil. 2007;35(6):530-5.
Vivet-Lefébure, A., Roman, H., Robillard, P. Y., Laffitte, A., Hulsey, T. C., Camp, G., Marpeau, L., & Barau, G. (2007). [Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)]. Gynecologie, Obstetrique & Fertilite, 35(6), 530-5.
Vivet-Lefébure A, et al. [Obstetrical and Neonatal Outcomes of Gestational Diabetes Mellitus at Reunion Island (France)]. Gynecol Obstet Fertil. 2007;35(6):530-5. PubMed PMID: 17531520.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Obstetrical and neonatal outcomes of gestational diabetes mellitus at Reunion Island (France)]. AU - Vivet-Lefébure,A, AU - Roman,H, AU - Robillard,P-Y, AU - Laffitte,A, AU - Hulsey,T C, AU - Camp,G, AU - Marpeau,L, AU - Barau,G, Y1 - 2007/05/24/ PY - 2007/01/26/received PY - 2007/04/10/accepted PY - 2007/5/29/pubmed PY - 2007/8/29/medline PY - 2007/5/29/entrez SP - 530 EP - 5 JF - Gynecologie, obstetrique & fertilite JO - Gynecol Obstet Fertil VL - 35 IS - 6 N2 - OBJECTIVE: To assess maternal and fetal outcomes in patients with gestational diabetes mellitus. PATIENTS AND METHODS: A retrospective study was conducted at the Sud-Reunion Hospital's maternity (French overseas department located in the Indian Ocean), during the period from January 1, 2001, through December 31, 2004. During this period, 1172 pregnant women presenting gestational diabetes mellitus were compared with 1172 non-diabetic controls matched on the basis of age, parity. Student t test, Pearson chi-square test and logistic regression model were used for statistical analysis. RESULTS: Gestational diabetes mellitus complicates about 7.5% of pregnancies in Reunion Island. Its occurrence was associated with a significantly increased prevalence of pre-pregnancy obesity (27 versus 9.4%) and chronic hypertension (5.3 versus 3.3%). The prevalence of preeclampsia and obstetrical vascular disorders were not different between the two groups, respectively 2.2 versus 2.7% (P=0.43) and 6.2 versus 4.4% (P=0.06). The rate of caesarean sections and inductions of labour was increased in the study group. The term of delivery was inferior in the study group, consecutive to increased rate of labour induction at 38 week-gestation. Macrosomia and large for gestational age (LGA) newborns rate were significantly higher in the study group, respectively 8.9 versus 4.2% and 22.5 versus 10.1% (P<0.001) but the rate of admission into neonatal unit was not significantly different. DISCUSSION AND CONCLUSION: Active management of gestational diabetes mellitus is associated with low maternal and perinatal morbidity. While age and parity are controlled by the study design, the prevalence of preeclampsia and gestational hypertension are not increased in women presenting gestational diabetes mellitus. SN - 1297-9589 UR - https://www.unboundmedicine.com/medline/citation/17531520/[Obstetrical_and_neonatal_outcomes_of_gestational_diabetes_mellitus_at_Reunion_Island__France_]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297-9589(07)00224-X DB - PRIME DP - Unbound Medicine ER -