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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. Belotserkovtseva
Surgut State University; Surgut Regional Clinical Prenatal Centre, Surgut
Russian 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
Surgut State University, Surgut
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
Surgut State University, Surgut
Russian Federation

Candidate of Sciences (Medicine), Associate Professor, Department of Obstetrics, Gynecology and Perinatology, Medical Institute

Е-mail: een79@yandex.ru

 



I. A. Kudrinskikh
Surgut State University, Surgut
Russian Federation

Lecturer, Department of Obstetrics, Gynecology and Perinatology, Medical Institute

Е-mail: irischka-kudrs@mail.ru

 



References

1. Краснопольский В. И., Новикова С. В., Цивцивадзе Е. Б.,

2. Жарова А. А. Ведение беременности и родов при многоплодной беременности // Альманах клинической медицины. 2015. № 37. С. 32–40.

3. Калашникова И. В., Бабалиева Г. Н., Пятигорская А. И. Ведение беременности и родов при многоплодной беременности // Наука и образование: отечественный и зарубежный опыт : сб. тр. 27-й междунар. науч.-практич. конф. Белгород, 2020. С. 53–55.

4. Chiefari E., Arcidiacono B., Foti D., Brunetti A. Gestational Diabetes Mellitus: An Updated Overview // J Endocrinol Invest. 2017. № 40 (9). P. 899–909.

5. IDF Diabetes Atlas, 9th Edition 2019. URL: https://www. diabetesatlas.org/ (дата обращения: 04.11.2020).

6. Гестационный сахарный диабет : клинич. рек. МЗ РФ, 2016. 27 с.

7. Алгоритмы специализированной медицинской помощи больным сахарным диабетом / под ред. И. И. Дедова, М. В. Шестаковой, А. Ю. Майорова. 9-й вып., доп. М., 2019. 212 с.

8. Конченкова Е. Н., Белоцерковцева Л. Д., Коваленко Л. В.

9. Диагностика и гликемический контроль гестационного сахарного диабета: реалии и перспективы // Вестник СурГУ. Медицина. 2019. № 2. С. 75–85.

10. Белоцерковцева Л. Д., Киличева И. И., Иванников С. Е., Конченкова Е. Н. Ведение беременности при гестационном сахарном диабете // Вопросы гинекологии, акушерства и перинатологии. 2020. Т. 19, № 3. С. 40–44.


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

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