Clinical-epidemiological profile of pregnant women with Gestational Diabetes Mellitus in Belém of Pará
DOI:
https://doi.org/10.33448/rsd-v12i9.43196Keywords:
Diabetes, gestational; Pregnancy, high-risk; Prenatal care.Abstract
Gestational Diabetes Mellitus (GDM) is the most common metabolic disorder during pregnancy and, without adequate glycemic control, can cause serious consequences for the mother, fetus and newborn. Therefore, the present study aimed to evaluate the clinical-epidemiological profile of patients with gestational diabetes mellitus treated at the Specialized Women's Health Unit, through descriptive, cross-sectional research with a quantitative approach. For this, data collection was carried out through the medical records of pregnant women treated at the high-risk prenatal service of the Specialized Women's Health Unit from January to December 2022. In this way, a GDM prevalence of 23.9% was obtained. Among the pregnant women affected, there was a predominance of women over 35 years of age, of mixed race, with complete secondary education and who lived in a stable relationship or were married. Regarding antecedents, a higher incidence of GDM was noted in multiparous women and women without previous abortions, in addition, 28.1% had a family history of diabetes mellitus. In relation to physical activity, only 13.2% reported doing it during pregnancy. Regarding GDM, 50.4% of patients were diagnosed in the second trimester of pregnancy, in addition, only 13.2% of women required the use of insulin. Furthermore, 28.9% consulted until the postpartum period. Regarding comorbidities, 54.5% were obese and 19.8% reported chronic hypertension. Therefore, the importance of measures aimed at preventing this pathology is noted, with emphasis on changes in lifestyle.
References
Araújo, P. H. de A, Gregio, A. C. de A. R, Scardua, J.de L. M., & Trindade, C. R. (2021). Antidiabéticos orais no diabetes gestacional: revisão de literatura. Femina. 49(3), 177-182. https://docs.bvsalud.org/biblioref/2021/05/1224087/femina-2021-493-p177-182-antidiabeticos-orais-no-diabetes-gest_CJXBSCO.pdf
Bozatski, B. L., Pinto, M. F., & Lavado, M. M. (2019). Perfil epidemiológico de gestantes diabéticas no município de Itajaí, SC. Arquivos Catarinenses De Medicina, 48(2), 34–55. https://revista.acm.org.br/index.php/arquivos/article/view/474.
Campos, M. dos S. B., Buglia, S., Colombo, C. S. S. de S., Buchler, R. D. D., Brito, A. S. X. de, Mizzaci, C. C., Feitosa, R. H. F., Leite, D. B., Hossri, C. A. C., Albuquerque, L. C. A. de, Freitas, O. G. A. de, Grossman, G. B., & Mastrocola, L. E. (2021). Posicionamento sobre Exercícios Físicos na Gestação e no Pós-Parto – 2021. Arquivos Brasileiros de Cardiologia, 117(1), 160-180. https://doi.org/10.36660/abc.20210408
Choudhury, A. A., & Rajeswari, V. D. (2021). Gestational diabetes mellitus - A metabolic and reproductive disorder. Biomedicine & Pharmacotherapy, 143, 112183. https://doi.org/10.1016/j.biopha.2021.112183.
Costa, L. D.; Baggio, N. A.; Roll, J. S.; Carneiro, P. A.; Lazarin, T. P. & Paula, M. de. (2022). Diabetes Mellitus Gestacional: perfil epidemiológico de maternidade de alto risco. Arquivos de Ciências da Saúde da UNIPAR, 26(3), 587-603.
Federação Brasileira das Associações de Ginecologia e Obstetrícia, Sociedade Brasileira de Diabetes, Organização Pan-Americana da Saúde e Organização Mundial de Saúde, & Ministério da Saúde (2019). Rastreamento e diagnóstico de diabetes mellitus gestacional no Brasil. Femina, 47(6), 786-796. https://docs.bvsalud.org/biblioref/2019/12/1046553/femina-2019-4711-786-796.pdf
Fernandes, C. N., & Bezerra, M. M. M. (2020). O Diabetes Mellitus Gestacional: Causa e Tratamento / The Managemental Diabetes Mellitus: Cause And Treatment. ID on Line REVISTA de PSICOLOGIA, 14(49), 127–139. https://doi.org/10.14295/idonline.v14i49.2325
Gadelha, I. P., Diniz, F. F., Aquino, P. de S., Silva, D. M. da, Balsells, M. M. D., & Pinheiro, A. K. B. (2020). Determinantes sociais da saúde de gestantes acompanhadas no pré-natal de alto risco. Rev Rene, 21, e42198. https://doi.org/10.15253/2175-6783.20202142198.
Gajera, D., Trivedi, V., Thaker, P., Rathod, M., & Dharamsi, A. (2023). Detailed Review on Gestational Diabetes Mellitus with Emphasis on Pathophysiology, Epidemiology, Related Risk Factors, and its Subsequent Conversion to Type 2 Diabetes Mellitus. Hormone and Metabolic Research, 55, 295–303. https://doi.org/10.1055/a-2061-9441.
Guedes, H. M., Sousa, A. A., Barbosa, B. R., Ribeiro, L. D. C. C., Dias, J. A., & Galvão, E. L. (2022). Gestação de alto risco: perfil epidemiológico e fatores associados com o encaminhamento para serviço especializado. Revista de Enfermagem Do Centro-Oeste Mineiro, 12, e4219. https://doi.org/10.19175/recom.v12i0.4219.
Helle, E., & Priest, J. R. (2020). Maternal Obesity and Diabetes Mellitus as Risk Factors for Congenital Heart Disease in the Offspring. Journal of the American Heart Association, 9(8), e011541. https://doi.org/10.1161/jaha.119.011541.
Juan, J., & Yang, H. (2020). Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China. International Journal of Environmental Research and Public Health, 17(24), 9517. https://doi.org/10.3390/ijerph17249517.
Kindermann, L., Costa, L. de L., & Trapani Junior, A. (2022). Prevalence of Screening for Diabetes Mellitus in Patients Previously Diagnosed with Gestational Diabetes: Factors Related to its Performance. Revista Brasileira de Ginecologia E Obstetrícia, 44(11), 1032–1039. https://doi.org/10.1055/s-0042-1757955
Lee, K. W., Ching, S. M., Ramachandran, V., Yee, A., Hoo, F. K., Chia, Y. C., Wan Sulaiman, W. A., Suppiah, S., Mohamed, M. H., & Veettil, S. K. (2018). Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 18(1), 494. https://doi.org/10.1186/s12884-018-2131-4.
Lende, M., & Rijhsinghani, A. (2020). Gestational Diabetes: Overview with Emphasis on Medical Management. International Journal of Environmental Research and Public Health, 17(24), 9573. https://doi.org/10.3390/ijerph17249573.
Li, Y., Ren, X., He, L., Li, J., Zhang, S., & Chen, W. (2020). Maternal age and the risk of gestational diabetes mellitus: A systematic review and meta-analysis of over 120 million participants. Diabetes Research and Clinical Practice, 162, 108044. https://doi.org/10.1016/j.diabres.2020.108044.
Martins, A. M. & Brati, L. P. (2021). Tratamento para o diabetes mellitus gestacional: uma revisão de literatura. Femina. 49(4), 251-6. https://docs.bvsalud.org/biblioref/2021/05/1224096/femina-2021-494-p251-256-tratamento-para-o-diabetes-mellitus-g_OVEyeFi.pdf
Martins, G. K. F., Carreli, G. Z., Ferreto, L. E. D., Dalmolin, B. L., Vandresen, D. F., Vicentini, G. E., De Araújo, A. K., Righi, M. G., & Wendt, G. W. (2020). Prevalência e fatores associados ao diabetes mellitus gestacional em um serviço de alta complexidade. Research, Society and Development, 9(8), e173985541. https://doi.org/10.33448/rsd-v9i8.5541.
Morais, A. M. de, Rempel, C., Delving, L. K. de O. B., & Moreschi, C. (2019). Perfil e conhecimento de gestantes sobre o diabetes mellitus gestacional. Revista de Epidemiologia E Controle de Infecção, 9(2), 134-141. https://doi.org/10.17058/reci.v9i2.12082
Muche, A. A., Olayemi, O. O., & Gete, Y. K. (2019). Prevalence of gestational diabetes mellitus and associated factors among women attending antenatal care at Gondar town public health facilities, Northwest Ethiopia. BMC Pregnancy and Childbirth, 19(1), 334. https://doi.org/10.1186/s12884-019-2492-3
Nascimento, I. B. do, Fleig, R., Souza, M. L. R. de, & Silva, J. C. (2020). Physical exercise and metformin in gestational obesity and prevention on gestational diabetes mellitus: a systematic review. Revista Brasileira de Saúde Materno Infantil, 20, 7–16. https://doi.org/10.1590/1806-93042020000100002
Nicolosi, B. F., Lima, S. A. M., Rodrigues, M. R. K., Juliani, C. M. C. M., Spiri, W. C., Calderon, I. de M. P., & Rudge, M. V. C. (2019). Prenatal care satisfaction: perception of caregivers with diabetes mellitus. Revista Brasileira de Enfermagem, 72(suppl 3), 305–311. https://doi.org/10.1590/0034-7167-2018-0978
Ortolani, S., & Ignatti, C. (2018). Resultados da abordagem do Diabetes Mellitus Gestacional no Centro de Especialidades em Saúde da Mulher e da Criança de Itanhaém-SP. Research, Society and Development, 7(1), e1171122. https://doi.org/10.17648/rsd-v7i1.102.
Parrettini, S., Caroli, A., & Torlone, E. (2020). Nutrition and Metabolic Adaptations in Physiological and Complicated Pregnancy: Focus on Obesity and Gestational Diabetes. Frontiers in Endocrinology, 11, 611929. https://doi.org/10.3389/fendo.2020.611929.
Reis, M., Vivan, R., & Gualtieri, K. (2019). Diabetes mellitus gestacional: aspectos fisiopatológicos materno-fetais. Revista Terra & Cultura: Cadernos De Ensino E Pesquisa, 35(69), 32-45. http://periodicos.unifil.br/index.php/Revistateste/article/view/1167
Rossett, T. C., Wittmann, T., Rotta, K., Gonçalves, R. A., & Pescador, M. V. B. (2020). Prevalência do diabetes mellitus gestacional em um ambulatório de alto risco do oeste do Paraná. Fag Journal Of Health (FJH), 2(2), 195–204. https://doi.org/10.35984/fjh.v2i2.193
Santos, A. S. dos, Gomes, C. da C., Motta, K. P., Ferreira, J. C. de S., & Figueiredo, R. S. (2021). Tratamento nutricional para gestante com DMG na região Amazônica: revisão bibliográfica. Research, Society and Development, 10(15), e14101522632. https://doi.org/10.33448/rsd-v10i15.22632
Santos, P. A. dos, Madi, J. M., da Silva, E. R., Vergani, D. de O. P., de Araújo, B. F., & Garcia, R. M. R. (2020). Gestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors. Rev. Bras. Ginecol. Obstet., 42(1), 12–18. https://doi.org/10.1055/s-0039-1700797
Shiratori, M. I., Viana, A. M., Silva, M. de L. L. de S. e, Barbosa, K. F., Carvalho, M. de S. M. da C., & Silva, F. F. A. (2021). Protocolo de manejo de hiperglicemia em gestantes em ambiente hospitalar. Revista Baiana de Saúde Pública, 45, 24–38. https://doi.org/10.22278/2318-2660.2021.v45.nsupl_2.a3561
Silva, R. R. e., Souza, M. L. R. de., Oliveira, L. C. de., Silva, T. R e, Bertoli, J. P. de P., & Silva, J. C. (2019). Desfechos materno-fetais de gestantes com e sem diabetes mellitus gestacional. Arquivos Catarinenses De Medicina, 48(3), 79–92. https://revista.acm.org.br/index.php/arquivos/article/view/519
Sociedade Brasileira de Diabetes (2019). Diretrizes da sociedade brasileira de diabetes 2019-2020Clannad.
Sousa, M. G. de, Lopes, R. G. C., Rocha, M. L. T. L. F. da,Lippi, U. G., Costa, E. de S., & Santos, C. M. P. dos. (2019). Epidemiology of artherial hypertension in pregnants. Einstein (São Paulo), 18, 1-7. https://doi.org/10.31744/einstein_journal/2020ao4682
Szmuilowicz, E. D., Josefson, J. L., & Metzger, B. E. (2019). Gestational Diabetes Mellitus. Endocrinology and Metabolism Clinics of North America, 48(3), 479–493. https://doi.org/10.1016/j.ecl.2019.05.001
Wang, C., Jin, L., Tong, M., Zhang, J., Yu, J., Meng, W., & Jin, L. (2020). Prevalence of gestational diabetes mellitus and its determinants among pregnant women in Beijing. The Journal of Maternal-Fetal & Neonatal Medicine, 1–7. https://doi.org/10.1080/14767058.2020.1754395
Yuen, L., Wong, V. W., & Simmons, D. (2018). Ethnic Disparities in Gestational Diabetes. Current Diabetes Reports, 18(9), 68. https://doi.org/10.1007/s11892-018-1040-2
Zuccolotto, D. C. C., Crivellenti, L. C., Franco, L. J., & Sarotelli, D. S. (2019). Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes. Revista de Saúde Pública, 53, 52. https://doi.org/10.11606/s1518-8787.2019053000909
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