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Health And Fitness
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Learn what are the consequences of uncontrolled gestational diabetes

Aug 16th 2014 at 12:19 AM

The Gestational Diabetes affects roughly 13% of pregnant women worldwide and 7.6% among Brazilian pregnant according to data from Brazilian Gestational Study Group. Once given the diagnosis, she must follow a series of recommendations given by doctors. Must also be accompanied by a multidisciplinary team throughout the pregnancy period.

If the diagnosis has been given late or woman is given the opportunity to have a good medical follow-up, there will be an increased risk of morbidity and mortality for both the mother and the fetus.

Which means increased morbidity in gestational diabetes?
Some health problems can occur in these patients without disease control. We will not review here the problems related to mothers diagnosed with diabetes before pregnancy, because this is a different situation than what we are discussing.

In the case of women with gestational diabetes, ie diabetes diagnosed in pregnancy, is the most common problem fetal macrosomia.

Fetal macrosomia is when the baby is born with more than 4.000g. Although it seems a sign of health, newborns with weight gain may suffer numerous problems. First, during labor may be greater difficulty in removing the same predisposing obstetric trauma and shoulder dystocia.
The weight gain of the newborn is probably explained by the excessive supply of glucose from the mother who developed diabetes.

Besides childbirth, we should pay attention to neonatal complications. These babies have a greater chance of developing hypoglycemia and jaundice. Ie macrossômica child should be fed immediately after birth, then the first 30 minutes and have measured their blood glucose regularly.

These children have a greater chance of developing obesity and diabetes in adulthood.

And as the rich mother?
The mother will have an increased risk of mortality as well as the fetus. There is a greater risk of developing hypertension and preeclampsia. It is very important to maintain glycemic control for the health of both.

We must make clear that Gestational Diabetes is not an absolute indication for cesarean section. And breastfeeding also not interfered.

The patient should be careful because, despite being common regression of diabetes after delivery, some women may remain with the rise in blood glucose. Therefore, they must maintain the care and monitoring for diabetes.

Patients who have Diabetes reversed with termination of pregnancy should be aware that there is a higher risk of developing gestational diabetes in a subsequent pregnancy. Another concern is that these patients also have a higher risk of developing diabetes than the general population mellitus later in life.

The intention is not to scare anyone who has had this diagnosis, but rather to inform. And so, we hope that future mothers have enough willpower trust that good adherence to treatment and careful medical follow-up can make such minor problems.

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