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Master Thesis

Diabète gestationnel avec ou sans facteur de risque : pronostic obstétrical et néonatal à court terme

Abstract : Objective: The primary objective was to study and compare the short-term obstetric and neonatal outcome in pregnant women with gestational diabetes without risk factors for a population with gestational diabetes and risk factors. at the Conception Hospital in Marseille. The secondary objective was to analyze in more detail the population of diabetic pregnant women with no risk factors for gestational diabetes Methods: Prospective cohort study of 151 patients with gestational diabetes Setting: Maternity La conception, universal health center level 3 in Marseille Sample: 150 patients with gestational diabetes, including 100 patients with risk factors and 50 patients without risk factors. Résults: one-third of the study sample would not have been screened as a result of current recommendations. Of which 42% were diagnosed by a GAJ. 63,5% developed a DGID. There is a higher rate of macrosomia suspicion in this group “without” FDR and 13,7% of newborn macrosomes. Conclusion: Routine screening for gestational diabetes is controversial and results in a wide variety of international recommendations and professional practices. The study showed that the impact of gestational diabetes was similar in the population of diabetic pregnant women with and without risk factors. The complications caused by under-diagnosis should not be neglected and it would be interesting to perform systematic screening of all patients.
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https://dumas.ccsd.cnrs.fr/dumas-02376355
Contributor : École Universitaire de Maïeutique Marseille Méditerranée (eu3m) <>
Submitted on : Friday, November 22, 2019 - 3:23:18 PM
Last modification on : Monday, July 6, 2020 - 4:04:38 PM

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Alicia Dutto. Diabète gestationnel avec ou sans facteur de risque : pronostic obstétrical et néonatal à court terme. Gynécologie et obstétrique. 2019. ⟨dumas-02376355⟩

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