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Articolul urmator |
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Ultima descărcare din IBN: 2024-04-22 00:15 |
SM ISO690:2012 BÎTCA, Renata, CEBAN, Ilie, MITRIUC, Diana, GREJDIAN-VOLOCEAI, Victoria, TOCARCIUC, Iulia, TOCARCIUC, Sandu. Diabetul gestațional – un factor predispozant pentru macrosomia fetală. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 592. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 592-592 | ||||||
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Background. Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degrees, first recognized, during pregnancy. GDM pregnancies have up to a 3-fold higher rate to give birth to a macrosomic infant. Fetal Macrosomia (FM) implies numerous complications, making it an undeniable issue. Objective of the study. It was performed a literature review in order to highlight the impact of the Gestational Diabetes in Fetal Macrosomia prognosis outcome and its complications. Material and Methods. There were used “PubMed MEDLINE” database to select relevant full-text original articles published from 2015 till 2020, using a search formula “Fetal Macrosomia in Gestational Diabetes”, review articles were excluded. According to research criteria, there were retrieved 55 full-text, clinical trial articles. Results. Several studies have reported that women with GDM having poor glycemic control during pregnancy are more predisposed to have macrosomic infants. The prevalence of FM ranges by country, shifting from Scandinavian countries with 20% to 2% in Taiwan. The rate of FM in the Republic of Moldova is 5% and tends to rise by each year. Fetal Macrosomia is the consequence of fetal hyperinsulinism, hence stimulating an increased lipid synthesis and a disproportionate body growth. These newborns showed an increased rate of glucose metabolism disorders and fearful complications like asphyxia, hypoxemia, even leading to intrauterine death. Conclusion. Analysis of the results revealed an increased prevalence of Fetal Macrosomia among women with Gestational Diabetes Mellitus, frequently involving severe perinatal complications, making Fetal Macrosomia a major problem that needs to be prevented and controlled. |
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Cuvinte-cheie Fetal Macrosomia, gestational diabetes, hyperglycemia, macrosomie fetală, diabet gestațional, hiperglicemie |
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