The diagnosis of gestational diabetes usually occurs from week 28 of pregnancy.
Children whose mothers have diabetes gestational during pregnancy have an increased risk of various complications as preterm birth (30%), birth by caesarean section (40%), fetal macrosomia (80%), respiratory difficulties (10%), birth (30%), or trauma cardiac malformations (30%). In addition, women who suffer this complication of pregnancy are 70% more likely to develop pre-eclampsia or eclampsia.
In the case of the delivery term, the risk of death of the newborn was 30% higher if gestational diabetes in the mother had treated only with diet
These are the conclusions of a new study, which was published in the journal of the European Association for the study of Diabetes – Diabetology-, and in which we have analyzed 796.346 births that took place in France in 2012 from the 22 week of pregnancy, and which were registered in the hospital discharge database and the national health insurance system. In the sample had a total of 57.629 pregnant with gestational diabetes.
It was noted that the risk of complications was between two and four times higher in children of women who had type 2 diabetes before pregnancy than those with gestational diabetes, so the researchers limited the analysis to births that occurred after week 28 of pregnancy, since the diagnosis of gestational diabetes usually occurs in this stage. The increased risk of complications was detected in mothers that had needed to be treated with insulin, which is indicated in cases of more severe diabetes, which is more difficult to control blood sugar levels.
When the researchers restricted the analysis to babies to term (from 37 weeks) found that the risk of death of the newborn was increased in women with gestational diabetes, and which if excluded mothers who could have been diagnosed with diabetes type 2 before pregnancy, this risk was 30% higher in pregnant women with gestational diabetes had treated with diet which attributed usually give birth later than those who administered insulin, so the fetus spends more time exposed to high levels of glucose.