DESFECHOS NEONATAIS DA DIABETES MELLITUS NA MATERNIDADE DO HOSPITAL UNIVERSITÁRIO LAURO WANDERLEY

Abstract

Diabetes mellitus is one of the main comorbidities of the gestational period, both for presenting high risks of triggering negative outcomes and for its high prevalence. Among its complications, some examples are macrosomia, neonatal hypoglycemia, prematurity, jaundice, and respiratory distress, among many others. This observational descriptive study, carried out between September 2021 and August 2022, aimed to collect and analyze data on the main neonatal outcomes in newborns whose mothers were diagnosed with gestational or chronic diabetes mellitus based on the criteria established by the International Association of Diabetes and Pregnancy Study Groups (IADPSG), and who were delivered at the maternity ward of Lauro Wanderley University Hospital (HULW). After analyzing 436 charts, the mean birth weight found was 3.17 kg (0.43-5), with 7,88% of macrosomia and 17.32% of large-for-gestational-age newborns. The mean 1st minute Apgar score was 7.95 (0-10) and 5th minute Apgar score was 8.81 (0-10), and the mean Somatic Capurro was 38,09 weeks (30.6-41.1). The most frequent complications were respiratory distress (25.92%), jaundice (22.67%), and hypoglycemia (20,97%). Thus, given the high prevalence of outcomes found, this reiterate the need for greater awareness on the part of health professionals and the patients regarding the importance of early diagnosis and strict control of this disease.