Yuanyuan Zhang1, Chunhua Li2, Rui Lin3, Yan Feng2, Fang Zhang2, Guangxia Zhang1. 1. Department of Obstetrics and Gynecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan 250021, Shandong, China. 2. Department of Surgery and Anesthesiology, Dongchangfu District Maternal and Child Health Care Hospital Liaocheng 252004, Shandong, China. 3. Department of Obstetrics and Gynecology, Liaocheng Maternal and Child Health Hospital Liaocheng 252004, Shandong, China.
Abstract
OBJECTIVE: To investigate the perinatal outcome of postpartum hypertension in pregnant women with gestational diabetes (GDM). METHODS: A total of 100 puerperae who gave birth in our hospital from March 2018 to January 2020 were retrospectively analyzed. Among them, 50 patients were puerperae with postpartum hypertension (experimental group), and 50 puerperae had normal postpartum blood pressure (control group). Before delivery, fasting, postprandial and bedtime blood glucose, glycosylated hemoglobin, and urine glucose were compared between the two groups. RESULTS: Before delivery, the experimental group observed significantly higher fasting, postprandial, and bedtime blood glucose, glycosylated hemoglobin, and urine glucose than the control group (P<0.05). A notable decline in natural delivery rate was witnessed in the experimental group (P<0.05). The two groups presented no significant differences in neonatal outcomes, neonatal blood glucose and blood pressure, maternal blood pressure at 30 weeks and 34 weeks of pregnancy, and blood lipid levels during pregnancy (P>0.05). CONCLUSION: Postpartum hypertension in pregnant women with GDM results in a low probability of natural birth and it has a slight impact on the fetus. AJTR
OBJECTIVE: To investigate the perinatal outcome of postpartum hypertension in pregnant women with gestational diabetes (GDM). METHODS: A total of 100 puerperae who gave birth in our hospital from March 2018 to January 2020 were retrospectively analyzed. Among them, 50 patients were puerperae with postpartum hypertension (experimental group), and 50 puerperae had normal postpartum blood pressure (control group). Before delivery, fasting, postprandial and bedtime blood glucose, glycosylated hemoglobin, and urine glucose were compared between the two groups. RESULTS: Before delivery, the experimental group observed significantly higher fasting, postprandial, and bedtime blood glucose, glycosylated hemoglobin, and urine glucose than the control group (P<0.05). A notable decline in natural delivery rate was witnessed in the experimental group (P<0.05). The two groups presented no significant differences in neonatal outcomes, neonatal blood glucose and blood pressure, maternal blood pressure at 30 weeks and 34 weeks of pregnancy, and blood lipid levels during pregnancy (P>0.05). CONCLUSION: Postpartum hypertension in pregnant women with GDM results in a low probability of natural birth and it has a slight impact on the fetus. AJTR
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