De Muylder X
Eur J Obstet Gynecol Reprod Biol. 1984 Sep;18(1-2):35-42. doi: 10.1016/0028-2243(84)90031-5.
One hundred and thirty-nine single pregnancies complicated by gestational diabetes (GD) were reviewed. All pregnancies were treated by dietary counselling and insulin was restricted to those who presented an abnormal fasting or postprandial glycemia. Obstetrical and neonatal morbidity were evaluated according to the timing of the diagnosis of GD. Preterm labor, preeclampsia, cesarean section, macrosomia, depressed apgar at 1 min and hyperbilirubinemia were more frequent when the diagnosis was made later. Neonatal hypoglycemia was statistically more frequent among the infants of the insulin-treated mothers compared to those of the diet-treated mothers. Our data suggest that early diagnosis of GD might be important to reduce perinatal morbidity further.
回顾了139例合并妊娠期糖尿病（GD）的单胎妊娠。所有妊娠均接受饮食咨询治疗，仅对空腹或餐后血糖异常者使用胰岛素。根据GD诊断时间评估产科和新生儿发病率。若诊断较晚，早产、先兆子痫、剖宫产、巨大儿、1分钟阿氏评分低及高胆红素血症更为常见。与饮食治疗母亲所生婴儿相比，胰岛素治疗母亲所生婴儿的新生儿低血糖在统计学上更为常见。我们的数据表明，GD的早期诊断对于进一步降低围产期发病率可能很重要。
