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Gestational diabetes research study
Literature review on prevalence of gestational diabetes
Literature review on prevalence of gestational diabetes
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Pregnancy is an interesting time in women’s life, because she creates a new human to the world. Even though it’s an interesting time for the mother, it also could be dangerous time for the mother and the baby. Pregnancy is divided into three trimesters, and each trimester consists of three months. Complications happen throughout all the trimester, but the third trimester has a lot of complications. Complications in the third trimester are not just dangerous for the baby, but for the mother also. The Healthline Editorial Team mentioned that several Complications could happen through the third trimester. These complications are Gestational Diabetes, Preeclampsia, Preterm Labor, Preterm Premature Rupture of Membranes, Problems with the Placenta (Previa and Abruption), Intrauterine Growth Restriction, Post-Term Pregnancy, and Malpresentation. National Data Ann Abercrombie mentioned that “Each year in the U.S., more than 500,000 babies are born prematurely and an estimated 28,000 children die before their first birthday” Data Gestational diabetes is one of the complications that occur during third trimester of pregnancy. It occurs due to changes of hormones during pregnancy. Gestational diabetes may seem normal to most women since no symptoms usually detected, but it could be dangerous to the fetus. It could causes macrosomia of the fetus which increase the chances of cesarean delivery and the risk of birth injuries. In order to prevent or decrease the risk of Gestational diabetes, all pregnant women have to test for gestational diabetes. If the result of the test is positive, the mother will need to change her diet, exercise, and use insulin to make the glucose level normal. After having the baby gestational diabetes usually r... ... middle of paper ... ... rupture of membranes, abnormal CTG and prolonged labour increased clearly with age. 91.0 % of women < 22 years and 84.5 % of women > 32 years had a normal cephalic presentation. Regarding the mode of delivery, 77.1 % (< 22 years) and 53.1 % (> 32 years) experienced spontaneous delivery, 14.5 % (< 22 years) and 32.3 % (> 32 years) had a Caesarean section. CONCLUSIONS: Older primiparas have a higher proportion of previous miscarriages and terminations of pregnancy. They more commonly experience pathological presentations and also more frequently require Caesarean section. This means that a delayed first pregnancy - an increasingly common phenomenon in Germany - goes along with an increased likelihood of birth risks, Caesarean sections and peripartal interventions. Older primiparous women constitute a special risk group which may require a more intense level of care.
4: Evers IM, De Valk HW, Visser GHA (2004) Risk of complications of pregnancy in women with Type 1 diabetes: Nationwide prospective study in the Netherlands. British Medical Journal 328, 915-917.
Eden, Elizabeth. "HowStuffWorks "Pregnancy Complications in Older Mothers" HowStuffWorks. N.p., 16 Nov. 2006. Web. 11 Apr. 2014.
Gale Group. (2013, May). Maternal Complications from Placenta Previa. Retrieved May 06, 2013, from Galenet: http://140.234.20.9:8080/EPSessionID=838ee1ba12d4ed675b34eeada9e17bc/EPHost=galenet.galegroup.com/EPPath/servlet/HWRC/hits?docNum=A246374229&index3=KE&index2=KE&index1=FT&tcit=0_1_0_0_0_1&locID=lac73470&rlt=6&text3=&text2=&origSearch=false&text1=maternal+
Diabetes is a metabolic disease where the body is unable to produce any- or enough- insulin which causes high glucose levels in return. There are 3 different types of diabetes that people are most familiar with. Type 1 diabetes, which is an autoimmune disease where that person would need insulin from the second they’re diagnosed. Type 2 diabetes, which may take months or even years for a person to require insulin. With type 2 diabetes, the affected person is usually older and overweight. The third type that people are most familiar with is Gestational diabetes. GD occurs during pregnancy. Around 28 weeks gestation, the pregnant woman is instructed to go for a one hour glucose test to check for diabetes. Usually after the pregnancy, the diabetes goes away- although there are some cases where it doesn’t.
As defined by Lowdermilk, Perry and Cashion, preterm labor is “cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy”. Preterm birth is a dramatic event causing distress for both the child and parents. There is a significant amount of information available on the risk factors related to preterm labor. Seeing the ineffectiveness of interventions directed towards known risk factors emphasizes the lack of maternal understanding of possible underlying pathways.
In America, 1 out of 8 children are born premature. The earlier a child is born from their suggested due date, the poor severe the condition the child can receive. With health conditions of the mother, that may be a main reason why a child may become premature. Women with uterine, cervical abnormalities, or having twins, triplets, etc. may cause a risk of preterm labor. A women’s health is a main factor of how their child may come out. Smoking, drinking, use of illegal drugs may cause women to have preterm labor as well. To...
Reddy, U. M., Zhang, J., Sun, L., Chen, Z., Raju, T. N., & Laughon, K. (2012). Neonatal mortality by attempted route of delivery in early preterm birth. American Journal of Obstetrics & Gynecology, 207(2). doi:10.1016/j.ajog.2012.06.023
Whereas signs and symptoms to the mother can include: rapid uterine contractions, back and abdominal pain, vaginal bleeding, and uterine tenderness. Direct causes sometimes can correlate with direct injury to abdominal wall, rapid loss or excess of amniotic fluid, the mother’s lifestyle choices, hypertension, advanced maternal age, diabetes mellitus, and prior placental abruption. Although, preventive measures for placenta abruption is uncommon, attention to ongoing medical evaluation of fetal and maternal welfare connected with consideration of risk factors, outcomes can be
Gestational diabetes mellitus (GDM) is an intolerance of glucose documented for the first time during pregnancy. It is usually a short-term type of diabetes and the most common health problem with pregnant women. GBM is caused by the way the hormones in pregnancy affect the mother. GDM accounts for 5-7% of all pregnancies (American Diabetes Association, 2010). During pregnancy the placenta develops and becomes the main bond between the mother and the baby. It is used to make sure the baby has and gets enough nutrients. The placenta makes several hormones which make it hard for insulin to control blood glucose and block the action of the mother’s insulin in her body (American Diabetes Association, 2010). Hormonal changes during the pregnancy causes the body to be less sensitive to insulin. Insulin has the job of opening up the cells so that the glucose can get inside regulating the amount of glucose in the blood while glucose is the amount of sugar in the blood stream. In pregnancy, the body needs to make three times more insulin for control of the blood sugar. GDM is usually found within the second trimester of a pregnancy and increases until the end of the pregnancy. Usually within a few hours of delivery the condition resolves itself (American Diabetes Association, 2010).
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
The primary method to control gestational diabetes mellitus (GDM) is through dietary regulation. The most effective method to control GDM via diet is through carbohydrate restriction and/or selectivity. It is recommended that pregnant women with GDM reduce their carbohydrate intake to 40% of the total caloric intake or can maintain a 60% carbohydrate intake but those carbohydrates must all come from low glycemic index foods. Examples of low glycemic foods are apples, spinach, black beans, split peas, oatmeal, and quinoa. Additional suggestions are to eat complex carbohydrates instead of simple, refined sugars. Eat small, frequent meals and snack often in between meals in order to maintain constant glucose levels throughout the day.
Gestational diabetes is a form of diabetes that occurs during pregnancy. Although it usually goes away after the baby is born, it does bring health risks for both the mother and baby. When you’re pregnant, pregnancy hormones make it harder for insulin to move glucose from your blood into the cells. If your body can’t produce enough insulin to overcome the effects of insulin resistance, you’ll develop gestational diabetes. (IHC, 2013)
Nausea and vomiting are especially common during early pregnancy, particularly within the first trimester. Most women experience nausea and vomiting, commonly referred to as “morning sickness”, which is often attributed to the mother’s reaction to the spike in pregnancy hormones. Although feeling ill is considered normal within the first few months of pregnancy, there are instances of nausea and vomiting that continue on to the second and third trimesters and are then considered more severe. When dehydration, electrolyte imbalances, weight loss, acidosis, or even hepatic and renal damage occur as a result of the hyperemesis, it is then determined to be hyperemesis gravidarum.
This journal was useful for me because it gave me the background details on why women are opting for delayed motherhood by the age of 30 or 40. Accordingly, I was able to build up my points on how it will affect the health conditions of both baby and mother and also the risk of taking that challenge.
Although childbirth appears to be a calm and unforgettable moment for mothers and family members, there can be severe complications that can affect not only the mother, but also the delivery and the child; on the contrary, the process may also run smoothly without any