Effect of Prenatal Care on Perinatal Outcomes of Pregnant Women with Diabetes Mellitus: A Systematic Review.

IF 2.5 3区 工程技术 Q2 BIOLOGY Yale Journal of Biology and Medicine Pub Date : 2024-03-29 eCollection Date: 2024-03-01 DOI:10.59249/WPTY4075
Letícia B G da Silva, Lenita Zajdenverg, Elisa Keating, Manoela Pereira Smith Silvestre, Beatriz M B Dos Santos, Cláudia Saunders
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Abstract

Objective: to evaluate the effect of prenatal care (PC) on perinatal outcomes of pregnant women with diabetes mellitus (DM). Methods: systematic review developed according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 guidelines and conducted through the population, intervention, control, and outcomes (PICO) strategy. Clinical trials and observational studies were selected, with adult pregnant women, single-fetus pregnancy, diagnosis of DM, or gestational DM and who had received PC and/or nutritional therapy (NT). The search was carried out in PubMed, Scopus, and BIREME databases. The quality of the studies was evaluated using the tools of the National Heart, Lung and Blood Institute-National Institutes of Health (NHLBI-NIH). Results: We identified 5972 records, of which 15 (n=47 420 pregnant women) met the eligibility criteria. The most recurrent outcomes were glycemic control (14 studies; n=9096 participants), hypertensive disorders of pregnancy (2; n=39 282), prematurity (6; n=40 163), large for gestational age newborns (4; n=1556), fetal macrosomia (birth weight >4kg) (6; n=2980) and intensive care unit admission (4; n=2022). Conclusions: The findings suggest that PC interferes with the perinatal outcome, being able to reduce the risks of complications associated with this comorbidity through early intervention, especially when the NT is an integral part of this assistance.

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产前护理对糖尿病孕妇围产期结果的影响:系统回顾
目的:评估产前护理(PC)对糖尿病(DM)孕妇围产期结局的影响。方法:根据《系统综述和荟萃分析首选报告项目》(PRISMA)2020 指南进行系统综述,采用人群、干预、控制和结果(PICO)策略。临床试验和观察性研究的对象均为成年孕妇、单胎妊娠、DM 诊断或妊娠 DM、接受过 PC 和/或营养治疗 (NT)。检索在 PubMed、Scopus 和 BIREME 数据库中进行。研究质量采用美国国家心肺血液研究所-美国国立卫生研究院(NHLBI-NIH)的工具进行评估。结果:我们确定了 5972 份记录,其中 15 份(n=47 420 名孕妇)符合资格标准。最常见的结果是血糖控制(14 项研究;n=9096 名参与者)、妊娠高血压疾病(2 项研究;n=39 282 名参与者)、早产(6 项研究;n=40 163 名参与者)、胎龄过大新生儿(4 项研究;n=1556 名参与者)、胎儿巨大儿(出生体重大于 4 千克)(6 项研究;n=2980 名参与者)和入住重症监护室(4 项研究;n=2022 名参与者)。结论研究结果表明,PC 会影响围产期的结果,通过早期干预,尤其是在 NT 是这种援助不可或缺的一部分时,PC 能够降低与这种合并症相关的并发症的风险。
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来源期刊
Yale Journal of Biology and Medicine
Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology
CiteScore
5.00
自引率
0.00%
发文量
41
期刊介绍: The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.
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