VP36.20: Antenatal predictors of adverse neonatal outcome in pregnancies complicated by gestational diabetes

Résumé fourni par la source

To identify antenatal predictors of adverse neonatal outcome in pregnancies complicated by gestational diabetes. Retrospective cohort study. Gestational diabetes was diagnosed by two-hour, 75g oral glucose tolerance test (OGTT). We included singleton pregnancies complicated by gestational diabetes in which a fetal growth scan was performed at 34 to 37 weeks of gestation. Composite adverse neonatal outcome at discharge was defined by the presence of at least one of the following: birthweight >4,000 g, neonatal hypoglycemia requiring glucose 5% intravenous infusion, and shoulder dystocia not resolved by McRoberts' manoeuvre. Population: 225. Characteristics of pregnancies with normal or adverse neonatal outcome at discharge are shown in table 1 (median values are reported). Binary logistic regression showed that ultrasound estimated fetal weight Z score (adjusted odds ratio (aOR) 6.82; p < 0.0001) and 1-hour maternal glucose level (aOR 1.02; p = 0.027) were associated with adverse neonatal outcomes. Estimated fetal weight at 34 to 37 and one-hour maternal glucose level appear to be the main determinants of neonatal adverse outcome at discharge in this neonatal population from pregnancies complicated by gestational diabetes. VP36.20: Table 1.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.