Font-López Karla C, Cejudo-Carranza Eliana, López-Caucana Alma E, Peralta-Pedrero María Luisa, Díaz-Velásquez Mary Flor, Puello-Tamara Eduardo, Ramírez-Torres Aurora
Hospital General de Zona 1A, Instituto Mexicano del Seguro Social, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc. 2010 Nov-Dec;48(6):673-84.
Metabolic disturbance commonly occurs during pregnancy and perinatal outcome harms, with increased maternal-fetal morbidity. The prevalence of diabetes during pregnancy in Mexico is 7%.
To develop a guideline available to the staff of the first, second and third level of care, that includes recommendations based on the best available evidence.
Clinical questions were formulated and structured. Standardized sequence was established to search for practice guidelines from the clinical questions raised on diagnosis and treatment of diabetes and pregnancy. The working group selected clinical practice guidelines. We found eleven guidelines which took many of the recommendations. For recommendations not included in the reference guides the search process was conducted in PubMed and Cochrane Library. The results were expressed as levels of evidence and grade of recommendation.
Diabetes mellitus during pregnancy increases perinatal morbidity and mortality. The recommendations in this evidence-based guide will help to make diagnosis and treatment standardized to reduce the consequences of disease.
代谢紊乱在孕期及围产期结局损害中普遍存在，母婴发病率增加。墨西哥孕期糖尿病患病率为7%。
制定一项可供一级、二级和三级护理人员使用的指南，其中包括基于现有最佳证据的建议。
提出并构建临床问题。建立标准化流程，从关于糖尿病与妊娠诊断和治疗的临床问题中搜索实践指南。工作组挑选临床实践指南。我们找到了11项包含许多建议的指南。对于参考指南中未包含的建议，在PubMed和考克兰图书馆进行搜索。结果以证据水平和推荐等级表示。
孕期糖尿病会增加围产期发病率和死亡率。本循证指南中的建议将有助于使诊断和治疗标准化，以降低疾病后果。
