| Abstract: |
SUMMARYGestational diabetes mellitus is a type of diabetes that develops in some women during pregnancy because their bodies are not able to produce enough insulin to keep blood sugar (glucose) within a safe range. High blood sugar is usually found between the 2Induction of labor is recommended at 38 weeks in patients with poor glucose control and macrosomia. Induction of labor may attempted if the fetus is not excessively large and if the cervix is capable of being induced, i.e. if the cervix is soft, appreciabThe aim of the present study was to identify problems that are found among parturient with gestational diabetes, and assessing pregnancy outcomes among them. The study was carried out at the delivery room in Zagazig University Hospitals and Public ZagazigThe tools used for data collection were a structured interviewing developed by researcher to collect data concerning demographic characteristics, past and present obstetrical history, and family history. Partograph was used to assess the progress of laborexamination was done to detect any problems, and neonatal blood glucose level was estimated, as well as Apgar score at the first and fifth minutes.The main finding of the study are summarized as follows:? Maternal complications (during labor): polyhydramnios was diagnosed among 20.0% of the study group, hypertension among 32%, premature rupture of membrane among 20%, vaginal infection among 22.0%, preterm labor among 25.0%, obstructed labor among 8.5%, p? Mode of delivery: the incidence of cesarean section was 60%, while spontaneous vaginal delivery was only 30%, and 10% of the women had instrumental delivery.? Testing blood glucose level for mother and baby: the study results indicated that there was a statistically significant negative correlation between infant and mother blood glucose levels. Thus, as maternal blood glucose level increased, infant blood gl? Neonatal complications: as regards Apgar score, the mean score at the first minute in the complicated group was 5.8±0.8, and 5.0±0.7 in the uncomplicated group (p<0.001).? The present study showed statistically significant differences between birth trauma in complicated and uncomplicated women (p? The rates of macrosomia in complicated and uncomplicated women were respectively 58.0% and 26.0%, p<0.001.? The rates of hypoglycemia in complicated and uncomplicated women’s babies were respectively 64.0% and 24.0%, p<0.001.It is concluded that women with gestational diabetes are at high risk of developing complications. They are more liable to neonatal complications affecting their newborns. The risks of maternal and fetal complications are significantly higher among women It is recommended that women be provided with information about the disease and its complications and management, with posters and health education materials to be prepared in simple language. Nurses should have a clear protocol for management of complica
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