Features of medical care for gestational diabetes mellitus (in case of a specialized obstetric hospital)
Objective. To evaluate the efficiency of methodological approaches to optimizing the care of pregnant women with gestational diabetes mellitus (GDM) under the present-day conditions of a progressive increase in the incidence of this disease in case of a specialized obstetric hospital.Radzinsky V.E., Papysheva O.V., Esipova L.N., Startseva N.M., Kotaish G.A.
Materials and methods. The statistical data on the 2015–2016 activities of the Outpatient Department and the Maternity Department, Moscow City Clinical Hospital Twenty-Nine, were retrospectively analyzed.
Results. GDM was diagnosed in two thirds of the pregnant women at more than 30 weeks’ gestation in primary outpatient care services.
In the management of pregnant women with untimely detected GDM, the sensitivity of ultrasound fetometry using the specific markers of diabetic fetopathy (DF) was 65.5%. Programmed labor (PL) was one of the leading methods during childbirth.
Conclusion. Ultrasound fetometry using specific markers for DF and the strict continuity of outpatient and inpatient care permitted the frequency of DF to be reduced about 1.5-fold. The use of PL methods in GDM contributed to a two-fold decrease in the cesarean delivery rate without deteriorating the perinatal outcomes of labor.
Keywords
gestational diabetes mellitus
diabetic fetopathy
programmed labor
perinatal outcomes of labor
Supplementary Materials
References
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Received 19.05.2017
Accepted 23.06.2017
About the Authors
Radzinskiy Viktor Evseevich, Doctor of Medicine, professor, Honored Researcher of the Russian Federation, corresponding member of the Russian Academy of Sciences,vice-president of the Russian Society of Obstetricians and Gynecologists; Head of the Department of Obstetrics and Gynecology with a Perinatology Course
of the Medical Institute of the Peoples’ Friendship University of Russia, subdivision of the Ministry of Education and Science of Russia; Head of the Department of Obstetrics, Gynecology and Reproductive Medicine of the Advanced Medical Training Faculty of the Peoples’ Friendship University of Russia.
117198, Russia, Moscow, Miklukho-Maklaya str. 6. Tel.: +79037232212. E-mail: radzinsky@mail.ru
Papysheva Olga Viuhlenovna, Ph.D., Head Physician of N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department.
111020, Russia, Moscow, Gospitalnaya pl. 2. Tel.: +79039694501. E-mail: viulen@mail.ru
Esipova Larisa Nikolaevna, Deputy Head Physician for Obstetrics and Gynecology of N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department. 111020, Russia, Moscow, Gospitalnaya pl. 2. Tel.: +79166829746. E-mail: larisaesipova1@mail.ru
Startseva Nadezhda Mikhailovna, Doctor of Medicine, Head of Pathologic Pregnancy Department of N.E. Bauman City Clinical Hospital Twenty-Nine,
Moscow Healthcare Department. 111020, Russia, Moscow, Gospitalnaya pl. 2. Tel.: +79037280820. E-mail: n.startseva@yahoo.com
Kotaish Galina Aleksandrovna, Ph.D., obstetrician-gynecologist of N.E. Bauman City Clinical Hospital Twenty-Nine, Moscow Healthcare Department.
111020, Russia, Moscow, Gospitalnaya pl. 2. Tel.: +79057500251. E-mail: suslatin1@mail.ru
For citations: Radzinsky V.E., Papysheva O.V., Esipova L.N., Startseva N.M., Kotaish G.A. Features of medical care for gestational diabetes mellitus (in case of a specialized obstetric hospital). Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (2): 108-14. (in Russian)
https://dx.doi.org/10.18565/aig.2018.2.108-114
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