الفهرس Only 14 pages are availabe for public view
 |  | from | 133 |  |  |
| | | from | 133 | | |
Abstract
Gestational diabetes mellitus is a type of diabetes that develops in some women during pregnancy because their bodies are not able to produce enough insulin to keep blood sugar (glucose) within a safe range. High blood sugar is usually found between the 24th and 28th weeks of pregnancy. Women with gestational diabetes at a greater risk for serious complications during pregnancy and labor. For the mother with GDM there is a higher risk of hypertension, urinary tract infection, pre-term labor, cesarean section, and future diabetes. Many of the problems associated with overt diabetic pregnancies can be seen in infants of gestational diabetic pregnancies such as macrosomia, neural tube defects, neonatal hypoglycemia, hypocalcaemia, hyperbilirubinemia, birth trauma, prematurity syndromes, and subsequent childhood and adolescent obesity.
Induction of labor is recommended at 38 weeks in patients with poor glucose control and macrosomia. Induction of labor may attempted if the fetus is not excessively large and if the cervix is capable of being induced, i.e. if the cervix is soft, appreciably effaced, and somewhat dilated. The possibility of shoulder dystocia in the macrosomic infant of a mother with diabetes must be considered, and cesarean section may be indicated to avoid the trauma of a delivering of a large infant. Eulycemia should be maintained during labor.
The aim of the present study was to identify problems that are found among parturient with gestational diabetes, and assessing pregnancy outcomes among them. The study was carried out at the delivery room in Zagazig University Hospitals and Public Zagazig Hospital in Zagazig city during the period from the first of May 2004 to the end of April 2005. It comprised 200 pregnant gestational diabetic women during labor.
The tools used for data collection were a structured interviewing developed by researcher to collect data concerning demographic characteristics, past and present obstetrical history, and family history. Partograph was used to assess the progress of labor as well as mother and fetal condition. For every woman at the time of delivery, blood glucose level was estimated, with observation of maternal complications that occurred during labor. Newborn examination was done to detect any problems, and neonatal blood glucose level was estimated, as well as Apgar score at the first and fifth minutes.