Title: Gestational diabetes on maternal and child health and care ABSTRACT Background: Gestational diabetes mellitus (GDM) is the occurrence or discovery of diabetes during pregnancy, gestational diabetes, the complex metabolic changes that control is more complicated, the patient's pathological pregnancy, childbirth complications and infant birth complications also significantly increased. With the improvement of living standards, GDM prevalence increasing trend around the world were tested. The epidemiological trend of sustained growth have posed serious public health problem, GDM serious threat to maternal and child health, the influence of time of its detection and treatment are closely related. Therefore, attention should be paid, and raise awareness of GDM, the early diagnosis, early treatment and timely termination of pregnancy can increase maternal and child outcomes, reduce complications, reduce infant and maternal mortality. Objectives: Aims to increase awareness of the impact of GDM on offspring awareness and provide a basis for future research. Methods: Collection of First Affiliated Hospital of Xi'an Jiaotong University, Obstetrics and Gynecology in January 2005 ~ October 2010 82 cases of GDM mothers for the study. Diagnosis and begin treatment according to the time divided into 2 groups, gestational age <28 weeks group (32 cases) and gestational age ≥ 28 weeks group (50 cases), two groups of pregnant women's age, weight, parity, there was no significant difference in parity of the (dead <0.05). From the same period of the normal hospital delivery in pregnant women were randomly selected as a control study of 82 cases. Perinatal outcome of GDM in pregnant women compared the impact of preeclampsia, operative delivery, polyhydramnios, postpartum hemorrhage, genital tract infection, oligohydramnios, and the incidence of premature rupture of membranes; GDM on perinatal outcome of children with relatively premature delivery, great children, fetal distress, neonatal asphyxia, neonatal hypoglycemia, hyperbilirubinemia and the incidence of stillbirths. Results: ① GDM pregnant women, preeclampsia, operative delivery, polyhydramnios, postpartum hemorrhage and the incidence of reproductive tract infections, compared with the control group, significant difference (P <0.05), while too little amniotic fluid and the incidence of premature rupture of membranes and the control group Compared with no significant difference (P> 0.05); in gestational age> 28 weeks group of pregnant women, operative delivery, preeclampsia, polyhydramnios, postpartum hemorrhage and reproductive tract infections were significantly higher than the gestational age <28 weeks Group of pregnant women <0.05). ② GDM pregnant women, premature newborns, great children, fetal distress, neonatal asphyxia, neonatal hypoglycemia, and the incidence of hyperbilirubinemia, compared with the control group, significant difference (P <0.05), <28 week group children of pregnant women huge , Neonatal asphyxia, and the incidence of stillbirths, compared with the control group, no significant difference (P> 0.05), while the great women ≥ 28 weeks group children, neonatal asphyxia, and the incidence of stillbirths, compared with the control group Significant difference (P <0.05); gestational age ≥ 28 weeks group in pregnant women, premature delivery, great children, fetal distress, neonatal asphyxia, hypoglycemia, hyperbilirubinemia and the incidence of stillbirths was significantly higher than the gestational age <28 weeks group of pregnant women (P <0.05). Conclusion: Blood sugar should be strictly controlled during pregnancy, and actively prevent GDM in reducing maternal morbidity is very important; GDM pregnant women, newborn asphyxia, a huge children the incidence of preterm delivery, fetal distress, neonatal hypoglycemia and hyperbilirubinemia Were significantly higher than non-GDM group; early detection diagnosis and treatment is to reduce maternal complications and improve prognosis. Glucose metabolism in pregnancy is a pregnancy began a period of significant change, this period of monitoring can help the diagnosis of GDM.
