maternal and neonatal outcomes of gestational diabetes full

maternal and neonatal outcomes of gestational diabetes full

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1、JFamilyMedPrimCare.2015Jul-Sep;4(3):395–398.doi:  10.4103/2249-4863.PMCID: PMCMaternalandneonataloutcomesofgestationaldiabetes:AretrospectivecohortstudyfromSouthernIndiaP.R.Sreelakshmi,1 SanjeevNair,2 BijuSoman,3 RaniAlex,1 K.Vijayakumar,4 and V.RamanKutty31D

2、epartmentofCommunityMedicine,SreeUthradamThirunalAcademyofMedicalSciences,Vattapara,India2DepartmentofRespiratoryMedicine,GovernmentMedicalCollege,Karakonam,Thiruvananthapuram,India3AchuthaMenonCentreforHealthScienceStudies,SreeChitraTirunalInstituteforMedica

3、lSciencesandTechnology,Karakonam,Thiruvananthapuram,India4DepartmentofCommunityMedicine,SMCSIMedicalCollege,Karakonam,Thiruvananthapuram,IndiaAddressforcorrespondence: Dr.PR.Sreelakshmi,DepartmentofCommunityMedicine,SreeUthradamThirunalAcademyofMedicalScience

4、s,Vattapara,Thiruvananthapuram,India.E-mail:moc.liamg@3002rp.rdCopyright :©JournalofFamilyMedicineandPrimaryCareThisisanopen-accessarticledistributedunderthetermsoftheCreativeCommonsAttribution-Noncommercial-ShareAlike3.0Unported,whichpermitsunrestricteduse,d

5、istribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.AbstractBackground:Theprevalenceofgestationaldiabetesisontherise.Understandingthevariousoutcomesofitisnecessarytofacethischallenge.Objectives:Tostudythefrequencyofoccurrenceofvariou

6、smaternalandfetaloutcomesamonggestationaldiabetespatients.Methods:ThisisaretrospectivecohortstudyconductedinruralKerala,asouthernstateofIndia.Thestudyparticipantswerefollowedupforaperiodof4years,from2007to2011.Theparticipantsincluded60womenwithgestationaldiab

7、etesand120womenwithoutgestationaldiabetes.Gestationaldiabeteswasthemajorexposurevariable.Thefrequenciesofvariousoutcomeswerecomputed.Multivariablelogisticregressionwasdonetocomputetheriskforvariousoutcomesingestationaldiabetes.Results:Themajoroutcomesincluded

8、terminationofpregnancybycaesareansection,long-termprogressiontotype2diabetes,in-bornnursery(IBN)admissionsandincreasedneonatalbirthweight.ThemaximumadjustedRR[13.2(1.5-116.03)]wasforthede

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