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vol.75 número1CALIDAD DE VIDA EN MUJERES MENOPAUSICAS CON Y SIN TERAPIA DE REEMPLAZO HORMONALHALLAZGO DE FRAGMENTOS UTERINOS INTRABDOMINALES POSHISTERECTOMÍA índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

VELAZQUEZ G, Pablo; VEGA M, Genaro  y  MARTINEZ M, Martha Leticia. MORBILIDAD Y MORTALIDAD NEONATAL ASOCIADA A LA DIABETES GESTACIONAL. Rev. chil. obstet. ginecol. [online]. 2010, vol.75, n.1, pp.35-41. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262010000100005.

Objectives: To determine the association of neonatal morbidity and mortality with gestational diabetes. Methods: Study cohort. A study of pregnant women from December 2007 to November 2008 in the service of ginecology and obstetrics HGR No. 1 Querétaro, were divided into two groups of 71 patients, one gestational diabetic and one without it. The quota sampling was matched by age. In both groups were measured sociodemographic, obstetric history, via interruption of birth, neonatal morbidity and mortality. The results were analyzed with Chi square and relative risk with a power alpha of 0.05. Results: The morbidity rate in the exposed group was 60%. Variables that were statistically significant were: pregestational obesity (RR: 2.7), cesarean (RR 3.3), metabolic complications (RR 10), respiratory illness (RR: 6.7), macrosomia (RR: 4.1), hypoglycemia (RR: 14.2) and transient tachypnea of the newborn (RR: 7.7). Maternal age, gestational overweight, socioeconomic status, education, history of macrosomic, and cesarean birth defects, congenital malformations, low birth weight, prematurity, hyaline membrane disease, hyperbilirubinemia, hypocalcemia, and neonatal asphyxia had no significant association. The most common metabolic complication was hypoglycemia (17.2%). There were no perinatal deaths. Conclusions: The exposed group showed higher morbidity associated with gestational diabetes that the unexposed group, early screening is necessary in women with risk factors for this disease and establish a treatment program with close monitoring.

Palabras clave : Gestational diabetes; neonatal morbidity; neonatal mortality; perinatal risk.

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