Fetal and Maternal Health Implications by Pregnancy Trimesters in Gestational Diabetes

Abstract

Introduction: Gestational diabetes (GD) is defined as intolerance to glucose or the presence of high levels of glycemia during pregnancy. Its incidence in Europe reaches 3-5% of all pregnancies, but in some Mediterranean countries it goes up to 7%. 1,2(This includes our country). GD usually disappears after birth.3 Its importance is not only important as a pathology of women's health but also because of the risk factors that lead to the development of the fetus. Occasionally new research and studies on the correlates of diabetes in pregnancy, glycemic values that affect maternal or fetal health, or changes in baseline parameters depending on external and internal factors affecting pregnancy. An indication of the latter is the prediabetes group or IGM. Our aim: To study intrauterine complications or fetal consequences by trimesters in diabetic pregnant women attending Regional Hospital Durres. Maternal health close observation of GD complications. Methodology: Following the primary processing of patient data, individuals at risk were separated, and categorized according to trimester of pregnancy. The data were worked out on crostabulary statistical tables, where a selected number of participants with prediabetes or gestational diabetes were associated with a risk factor to analyze the correlational correlation in our population. Results. Reported to the gynecology services, for first-trimester pathology, 1954 women, of which 1176 have had one of the diagnoses: missed abortion, blighest ovum or recurrent abortion. Reported to the Pathology Pregnancy Pathology Service about 3268 of which were monitored and resulted based in examinations in 163 cases with prediabetes and diabetes in pregnancy. We have grouped and extracted the results based on correlations of baseline glycemic index to diagnose DG and the onset of complications in the fetus and in pregnancy.

Received: 19 February 2024 / Accepted: 15 March 2024 / Published: 23 March 2024