Kolejność porodów a ryzyko wystąpienia cukrzycy ciężarnych

*Barbara Golonko¹, Iwona Radziejewska²

Streszczenie
The aim of this study was retrospective analysis of anthropometric parameters and establishing of some potential risk factors of pregnant diabetes revealing. 283 women were included in this study; in 136 of them pregnancy diabetes was recognized.
In analyzed GDM (Gestational Diabetes Mellitus) group all cases of diabetes pregnancy belonged to G1 class (pregnancy diabetes treated only by diet). 147 randomly chosen women were taken as control group; in these patients screening test detecting pregnancy diabetes performed in the last and previous pregnancy was negative. After delivery (6-8 weeks), in all examined patients venous blood, in fasting state was drawn in order to determine glycemia and glycosylated hemoglobin (HbA1c). The following anthropometric parameters were also submitted to statistical analyses: women age, body mass, BMI (body mass index), BMI during pregnancy, hip and waist measurement, WHR (waist/hip ratio), increase of body mass during pregnancy and after pregnancy, the number of deliveries, body mass of newborn, concentration of glycemia in mother´s venous blood, concentration of HbA1c in mother´s venous blood, GDM in previous pregnancy, family diabetes.
Taking into account chosen clinical and metabolic parameters, the following points were found: 1. the revealing of pregnancy diabetes more often occurs in older women; 2. such anthropometric parameters as: body mass before and after delivery, BMI in pregnancy and after pregnancy, hip and waist measurement, WHR are higher in the GDM women group; 3. women with GDM bear newborn with the higher body mass; 4. the number of deliveries and diabetic family history increase the risk of revealing of diabetes pregnancy.

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