FEATURES OF THE COURSE OF MULTIPLE AND SINGLETON PREGNANCY IN GESTATIONAL DIABETES MELLITUS
https://doi.org/10.34822/2304-9448-2021-1-42-48
Abstract
The study aims to examine the course of multiple and singleton pregnancies and their outcomes associated with gestational diabetes mellitus. Material and methods. A retrospective analysis of 131 cases of the course and outcomes of labor in patients with multiple and singleton pregnancies, complicated and not complicated by gestational diabetes mellitus was performed. Results. Multiple and singleton pregnancies with gestational
diabetes mellitus were typically complicated by placental insufficiency and preterm birth (p < 0.01). The neonatal period in twin children whose mothers had gestational diabetes mellitus was statistically significantly more likely
to be complicated by hypoglycemia, neonatal jaundice, extreme immaturity, which required inpatient treatment and intensive care. Most likely, these complications in multiple pregnancy are caused by hyperinsulinism, which
developed in the fetus in the II and III trimesters of gestation affected by hyperglycemia in uncompensated gestational diabetes mellitus in a woman.
About the Authors
L. D. BelotserkovtsevaRussian Federation
Doctor of Sciences (Medicine), Professor, Head, Department of Obstetrics, Gynecology and Perinatology, Medical Institute;
Chief Medical Officer
Е-mail: info@surgut-kpc.ru
I. I. Mordovina
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Department of Obstetrics, Gynecology and Perinatology, Medical Institute
Е-mail: mar-mariot@yandex.ru
E. N. Erchenko
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Department of Obstetrics, Gynecology and Perinatology, Medical Institute
Е-mail: een79@yandex.ru
I. A. Kudrinskikh
Russian Federation
Lecturer, Department of Obstetrics, Gynecology and Perinatology, Medical Institute
Е-mail: irischka-kudrs@mail.ru
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Review
For citations:
Belotserkovtseva L.D., Mordovina I.I., Erchenko E.N., Kudrinskikh I.A. FEATURES OF THE COURSE OF MULTIPLE AND SINGLETON PREGNANCY IN GESTATIONAL DIABETES MELLITUS. Vestnik SurGU. Meditsina. 2021;(1 (47)):42-48. (In Russ.) https://doi.org/10.34822/2304-9448-2021-1-42-48