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SM ISO690:2012 SERBENCO, Anatol. Particularităţile evoluţiei sarcinii şi naşterii la gravidele cu diabet zaharat. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2011, nr. 5(12), pp. 133-136. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 5(12) / 2011 / ISSN 1857-1719 | ||||||
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Pag. 133-136 | ||||||
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Rezumat | ||||||
Specific features of pregnancy evolution and delivery in pregnant women with
diabetes mellitus
Pregnancy and delivery evolution in 55 patients with diabetes mellitus was studied in 2004 –
2010 with gave birth at the Institute of Helth Protection and Research of Mother and Child. The
pregnancy developed on a gynecological and somatically complicated bachground. The obstetric
pathology was practically revealed in every patients with diabetes mellitus: the imminence of
abortion and premature birth in 12(21,8%), iron defficience anemia in 23(41,8%),
polyhidroamnios in 14(25,4%), fetoplacental insufficiency in 18(32,7%) patients.
The most preferred method of solving the pregnancy was cesarian which was performed in
48(87,3%) of pregnancy 35-37 weeks. Most of the babies (69,1%) were born with immaturity
signs of diabetic fetopathy 17(30,9%) of babies, with pulmonary pathology (cogenital
pneumopathy and pneumonia) 9(16,4%) with jaundice and hyperbilirubinemia 14(25,5%), and
macrosomia 11(20%) of babies.
Prophylaxis of respiratory insufficiency was performed with dexametasone according to the
scheme for patients with the pregnancy of less than 34 weehs.
It is recommended for the gravidas with diabetes mellitus to be refered to the Research
Institute for Mother and Child Heeth Protection to solve the problem of the III level pregnancy. |
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