A Relação entre Diabetes Gestacional e Macrossomia Fetal: Consequências Obstétricas e Pediátricas

Authors

  • Naysa Gabrielly Alves de Andrade Universidade de Rio Verde
  • Amanda Araújo de Sousa Graduanda em Enfermagem pela Universidade Federal de Uberlândia
  • Amanda= Martins Malaquias Graduanda em Enfermagem pela Universidade Federal de Uberlândia
  • Claudenice Antonia Aguiar Lima Graduada em Enfermagem pelo Instituto Florence de Ensino Superior- São Luís- MA
  • Denise dos Anjos Neves Graduada em Enfermagem pela Faculdade JK
  • Fabrício Augusto Rodrigues de Castro Graduado em Medicina pela Universidade Estatual de Montes Claros - UNIMONTES
  • Jessica Fidelis trindade dos santos Trindade dos Santos Graduanda em Enfermagem pelo Centro Universitário CBM - UniCBE
  • Juliana Oliveira do Nascimento Graduada em Medicina pela Universidade Iguaçu
  • Lorrayne Sousa Pereira Graduanda em Enfermagem pela Universidade Federal de Uberlândia
  • Luciana dos Anjos Silva Graduando em Enfermagem pela universidade nove de JULHO-UNINOVE
  • Marystela Batista Martins Graduada em Medicina pela Universidade Nilton Lins
  • Matheus Felipe Rodrigues de Castro Graduado em Medicina pela Faculdade Unidas do Norte de Minas (FUNORTE)
  • Rafael Ambrosio Barreto Graduando em Medicina pelo Centro Universitário Instituto Master de Ensino Presidente Antônio Carlos - IMEPAC - Araguari (MG)
  • Yuri da Silva Pimenta Graduando em Medicina pelo Centro Universitário FAMETRO

DOI:

https://doi.org/10.36557/2674-8169.2024v6n11p2862-2879

Keywords:

Diabetes Gestacional, Macrossomia fetal, Complicações obstétricas, Impactos neonatais

Abstract

INTRODUCTION: Gestational diabetes mellitus (GDM) is a condition of hyperglycemia during pregnancy, with risks for the mother and fetus. Its history has evolved over time, highlighting complications such as fetal macrosomia and cesarean section. METHOD: This study is an integrative review carried out in November 2024, with a search in PubMed using the descriptors "Gestacional Diabetes" AND "Fetal Macrossomia" and "Gestacional Diabetes" AND "Birth Complications". Six articles published between 2020 and 2024 were selected, in addition to the Official Guideline of the Brazilian Diabetes Society (2023). The data were analyzed and presented in thematic categories, addressing risk factors, impacts, and prevention and control approaches. RESULTS: The study investigated the relationship between gestational diabetes (GDM) and fetal macrosomia, identifying risk factors and strategies for predicting and managing the condition. The results revealed that maternal hyperglycemia, especially when uncontrolled, is strongly associated with an increased risk of fetal macrosomia. The analysis showed that pregnant women with GDM have a higher incidence of babies with birth weights greater than 4000 g, which increases obstetric complications, such as cesarean sections and shoulder dystocia. Strict glycemic control was highlighted as essential to reduce these risks. In addition, the study found that ultrasound and specific biomarkers, such as CLUL1 and VCAN, can improve the prediction of macrosomia in pregnant women with GDM. Continuous monitoring of glycemia, especially in the third trimester, was highlighted as an important strategy to prevent neonatal complications and improve perinatal outcomes, such as hypoglycemia and respiratory disorders in newborns. CONCLUSION: Gestational diabetes mellitus (GDM) is an obstetric challenge, with a risk of fetal macrosomia and complications. Glycemic control strategies, early diagnosis and integrated care improve maternal and neonatal outcomes.

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References

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Published

2024-11-22

How to Cite

Alves de Andrade, N. G., Araújo de Sousa, A., Martins Malaquias , A., Aguiar Lima, C. A., dos Anjos Neves, D., Rodrigues de Castro , F. A., Trindade dos Santos , J. F. trindade dos santos, Oliveira do Nascimento , J., Sousa Pereira, L., dos Anjos Silva , L., Batista Martins , M., Rodrigues de Castro , M. F., Ambrosio Barreto, R., & da Silva Pimenta, Y. (2024). A Relação entre Diabetes Gestacional e Macrossomia Fetal: Consequências Obstétricas e Pediátricas. Brazilian Journal of Implantology and Health Sciences, 6(11), 2862–2879. https://doi.org/10.36557/2674-8169.2024v6n11p2862-2879

Issue

Vol. 6 No. 11 (2024): BJIHS QUALIS B3 - FATOR DE IMPACTO SJIF 5.807 - ÍNDICE H 22

Section

Literature Review

License

Copyright (c) 2024 Naysa Gabrielly Alves de Andrade, Amanda Araújo de Sousa, Amanda= Martins Malaquias , Claudenice Antonia Aguiar Lima, Denise dos Anjos Neves, Fabrício Augusto Rodrigues de Castro , Jessica Fidelis trindade dos santos Trindade dos Santos , Juliana Oliveira do Nascimento , Lorrayne Sousa Pereira, Luciana dos Anjos Silva , Marystela Batista Martins , Matheus Felipe Rodrigues de Castro , Rafael Ambrosio Barreto, Yuri da Silva Pimenta

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