GESTATIONAL DIABETES: CHALLENGES IN PRE-PARTUM AND CHILDBIRTH

Abstract

Introduction: Gestational Diabetes Mellitus is a clinical condition affecting pregnant women, which may or may not persist after delivery. Objective: Integrative research to analyze diagnostic, management, and care strategies for pregnant women with gestational diabetes, highlighting its implications for maternal-fetal health. Methodology: Articles were selected using filters from the Virtual Health Library platform, chosen according to: subject descriptor, Portuguese language, full text, year of publication between 2020 and 2025, database: SciELO-Preprints, BDENF-Enfermagem, LILACS, MEDLINE. Results: 360 studies were filtered, of which only 17 (4.7%) articles were selected based on the study criteria, taking into account the descriptors. The distribution of articles according to the descriptors chosen for selection was based on the main literature reviews. The descriptor “diagnostic criteria for gestational diabetes” was the most emphasized in the publications 8 (47.1%), “risk factors associated with the development of gestational diabetes” 5 (29.4%) and “diagnostic criteria for gestational diabetes” 2 (11.7%), “maternal and fetal complications associated with gestational diabetes” 4 (23.5%), “main clinical and nutritional management strategies for glycemic control during pregnancy” 3 (17.6%) and “importance of multidisciplinary follow-up in the prenatal care of pregnant women with gestational diabetes” 2 (11.7%). Among the types of studies found in the articles, the study with a systematic review design related to the topic addressed predominated 10 (58.8%). Conclusion: There is still a need for more articles discussing diagnostic, management and care strategies for pregnant women with gestational diabetes, highlighting their implications for maternal-fetal health.