以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (1): 65-67.doi: 10.16460/j.issn1008-9969.2019.01.065

Previous Articles     Next Articles

Retrospective Cohort Study on Perinatal Outcome of Gestational Diabetes Mellitus Patients with Natural Pregnancy or Assisted Reproductive Technology

CHEN Yu-Yi   

  1. Outpatient of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China
  • Received:2018-07-04 Online:2019-01-10 Published:2020-07-16

PDF (PC)

101

Like

Abstract: Objective To explore the effect of different pregnancy methods on pregnancy outcome in patients with gestational diabetes mellitus. Methods The pregnancy outcome of 1,839 pregnant women (298 cases of assisted reproductive pregnancy, 1,541 of natural pregnancy) with gestational diabetes from February 2015 to February 2018 was retrospectively analyzed and compared. Results The maternal age of patients with gestational diabetes conceived by assisted reproduction was older but the rate of overweight lower, and the difference was statistically significant (P<0.05). The rate of hypertensive disorders of pregnancy, preeclampsia, cesarean section and preterm labor in the assisted reproductive conception group was higher than that in the natural pregnancy group (P<0.05). Conclusion The risk of pregnancy induced hypertension, severe preeclampsia, cesarean section and premature delivery increases among women with gestational diabetes mellitus by assisted reproductive technology.

Key words: gestational diabetes mellitus, assisted reproductive conception, natural pregnancy, perinatal outcome

CLC Number: 

  • R473.71
[1] 马淑红,李文丽,王娟,等.163 例女性不孕症患者配偶疾病家庭负担现状及影响因素分析[J].护理学报, 2018,25(19):51-55.DOI:10.16460/j.issn1008-9969.2018.19.051.
[2] Kushnir V A, Barad D H, Albertini D F, et al.Systematic Review of Worldwide Trends in Assisted Reproductive Technology 2004-2013[J]. Reprod Biol Endocrinol, 2017, 15(1): 6.DOI:10.1186/s12958-016-0225-2.
[3] Wang Y A, Nikravan R, Smith H C, et al.Higher Prevalence of Gestational Diabetes Mellitus Following Assisted Reproduction Technology Treatment[J]. Human Reproduction, 2013, 28(9):2554-2561.DOI:10.1093/humrep/det270.
[4] American Diabetes Association.Classification and Diagnosis of Diabetes[J]. Diabetes Care,2016,39(Suppl 1):S13-S22.DOI:10.2337/dc16-S005.
[5] Correa A, Bardenheier B, Elixhauser A, et al.Trends in Prevalence of Diabetes Among Delivery Hospitalizations, United States, 1993-2009[J]. Matern Child Health J, 2015, 19(3):635-642.DOI:10.1007/s10995-014-1553-5.
[6] Coetzee A, Mason D, Hall D R, et al.Prevalence and Predictive Factors of Early Postpartum Diabetes among Women With Gestational Diabetes in a Single-center Cohort[J]. Int J Gynaecol Obstet,2018,142(1):54-60.DOI:10.1002/ijgo.12494.
[7] Zhu W W, Yang H X, Wang C, et al.High Prevalence of Gestational Diabetes Mellitus in Beijing: Effect of Maternal Birth Weight and Other Risk Factors[J]. Chin Med J (Engl), 2017, 130(9):1019-1025.DOI:10.4103/0366-6999.204930.
[8] 王璇,陈廷美,于德纯,等.IADPSG标准下妊娠期糖尿病发病率及危险因素调查[J]. 实用医学杂志, 2014, 30(8): 1318-1320. DOI:10.3969/j.issn.1006-5725.2014.08.045.
[9] 谢幸. 妇产科学[M]. 8版. 北京:人民卫生出版社, 2013.
[10] Stephansson O, Kieler H, Granath F, et al.Endometriosis, Assisted Reproduction Technology, and Risk of Adverse Pregnancy Outcome[J]. Hum Reprod, 2009, 24(9):2341-2347.DOI:10.1093/humrep/dep186.
[11] Qin J, Liu X, Sheng X, et al.Assisted Reproductive Technology and the Risk of Pregnancy-related Complications and Adverse PregnancyOutcomes in Singleton Pregnancies: a Meta-analysis of Cohort Studies[J]. Fertil Steril, 2016, 105(1):73-85.DOI:10.1016/j.fertnstert.2015.09.007.
[12] 郝莹,臧彬.肥胖高血压患者血清瘦素与肾素-血管紧张素-醛固酮系统及胰岛素相关性分析[J].中国慢性病预防与控制, 2008,16(3):275-278. DOI:10.3969/j.issn.1007-5410.2017.02.005.
[13] 陈鹏,史琳,杨红梅,等.妊娠期高血压、子痫前期及子痫与孕前和孕期体质量及其他因素的相关性研究[J]. 实用妇产科杂志,2017,33(11):848-852.
[14] Wang Y A, Nikravan R, Smith H C, et al.Higher Prevalence of Gestational Diabetes Mellitus Following Assisted Reproduction Technology Treatment[J]. Hum Reprod, 2013, 28(9):2554-2561.DOI:10.1093/humrep/det270.
[15] 罗萌萌,于婉莹,崔静,等. 辅助生殖过程中血糖控制情况对2型糖尿病患者妊娠结局的影响[J].中国煤炭工业医学杂志,2018, 21(1):25-28.DOI:10.11723/mtgyyx1007-9564201801006.
[16] 康卉娴,马彩虹,魏瑗,等.体外受精-胚胎移植与单胎妊娠早产风险关系研究[J]. 中国实用妇科与产科杂志,2017, 33(6):609-612. DOI:10.19538/j.fk2017060114.
[17] Huang L S, Yen C H, Lee S H, et al.The Pregnancy Health and Birth Outcomes of Women Who Underwent Assisted Reproductive Technology: Results of a National Survey[J]. Iran J Reprod Med, 2011, 9(4):269-276.
[1] YUAN Cui-fang, ZHANG Xian-xian, JIA Zhi-hui, CHENG Yuan-zun. Current Status of Health Belief in Patients with Gestational Diabetes Mellitus and Its Influence Factors: A 196-case Study [J]. Journal of Nursing, 2019, 26(16): 52-56.
[2] CHEN Yun,FANG Fang,ZHOU Yi,HU Ying,LI Yi-wei. Effect of Integrated Intervention for Patients with Gestational Diabetes Mellitus Undergoing Predelivery Insulin Pump Intensive Therapy [J]. Journal of Nursing, 2013, (23): 45-49.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2019, 26(7): 61 -64 .
[2] . [J]. Journal of Nursing, 2019, 26(7): 65 -69 .
[3] . [J]. Journal of Nursing, 2019, 26(7): 70 -73 .
[4] . [J]. Journal of Nursing, 2019, 26(7): 74 -76 .
[5] . [J]. Journal of Nursing, 2019, 26(7): 77 -78 .
[6] ZHOU Ying, LU Hong-zhou, ZHANG Lin, SUN Mei-yan. Experience of Male HIV/AIDS Patients with Case Management in Clinic: A Qualitative Study[J]. Journal of Nursing, 2020, 27(10): 1 -4 .
[7] HUANG Ying-ying, CAO Wei-ping, WEI Jia-jie, LI Yan. Qualitative Study on Illness Experiences of Hypertensive Disorders in Pregnancy[J]. Journal of Nursing, 2020, 27(10): 5 -9 .
[8] CHEN Zhi-lan, MA Li-li , YANG Hui-min , LI Chun-xiang. Effect of Small-scale Restricted Blended Teaching Using Rain Classroom in Basic Nursing for Nursing Undergraduates[J]. Journal of Nursing, 2020, 27(10): 10 -13 .
[9] . [J]. Journal of Nursing, 2020, 27(10): 14 -18 .
[10] YAN Dan-dan, CAI Xun, LIU Qin. Influence of CDIO Teaching Mode on Diabetes Management Knowledge, Attitude to Online Learning of Clinical Nurses[J]. Journal of Nursing, 2020, 27(10): 19 -22 .