2010, Number 6
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Rev Med Inst Mex Seguro Soc 2010; 48 (6)
A clinical guideline for diagnosis and treating of diabetes during pregnancy
Font-López KC, Cejudo-Carranza E, López-Caucana AE, Peralta-Pedrero ML, Díaz-Velásquez MF, Puello-Tamara E, Ramírez-Torres A
Language: Spanish
References: 41
Page: 673-684
PDF size: 72.75 Kb.
ABSTRACT
Background: metabolic disturbance commonly
occurs during pregnancy and perinatal outcome
harms, with increased maternal-fetal morbidity. The
prevalence of diabetes during pregnancy in Mexico
is 7 %. Objective: to develop a guideline available
to the staff of the first, second and third level of
care, that includes recommendations based on
the best available evidence.
Methods: clinical questions were formulated and
structured. Standardized sequence was established
to search for practice guidelines from the
clinical questions raised on diagnosis and treatment
of diabetes and pregnancy. The working group
selected clinical practice guidelines. We found
eleven guidelines which took many of the recommendations.
For recommendations not included in
the reference guides the search process was conducted
in PubMed and Cochrane Library. The results
were expressed as levels of evidence and
grade of recommendation.
Conclusions: diabetes mellitus during pregnancy
increases perinatal morbidity and mortality. The recommendations
in this evidence-based guide will
help to make diagnosis and treatment standardized
to reduce the consequences of disease.
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