Abstract

SANTANA BACALLAO, Osvaldo et al. Mother morbidity in diabetes mellitus pregnant under preventive insulin-treatment. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.1, pp. 4-8. ISSN 1561-3062.

OBJECTIVE: to report on maternal morbidity in pregnant diabetic women under preventive insulin-treatment by late hyperglycemia risk. METHODS: results from 230 pregnants diagnosed with glucose intolerance during pregnancy are reported. The intolerance diagnosis was made using the criteria proposed by HWO during 2004-2008. Sample was divided in a random way into two groups of 115 pregnants each. Experimental group (intervention group) received a calculated diet plus Novo Nordisk human regular insulin with dose of 0.3 IU/kg of ideal body weight, divided into three preprandial dose according the method described by Valdés and Márquez. In the other group we used the calculated diet never less than 1 800 kcal/day (control group). To those without the metabolic control demanded by Service we added insulin in a conventional way. Also, for comparisons of ratios, we used the Chi² test, and for the independent samples, we used the t Student test. RESULTS: pregnant morbidity was of 24.3 % in intervention group and only of 21.7 % in control group, as well as, the cesarean section rate was of 53.9 % for both groups. CONCLUSION: preventive insulin treatment in pregnant diabetic women with late hyperglycemia risk fails to decrease neither the maternal morbidity frequency nor decrease in expected cesarean section rate, probably due to influence of multifactor problems and not only in relation to hyperglycemia.

Keywords : Gestational diabetes; preventive insulin treatment.

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