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Federación Mexicana de Ginecología y Obstetricia, A.C.

2023, Number 11

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Ginecol Obstet Mex 2023; 91 (11)

Classification of hyperglycemia in pregnancy. Narrative review

Rodríguez ZT, Abreu LA

Language: Spanish
References: 24
Page: 823-832
PDF size: 245.65 Kb.


ABSTRACT

Background: Hyperglycemia in pregnancy is associated with perinatal maternal morbidity and mortality and cardiometabolic risk for the mother and her offspring. In 2010, the International Diabetes and Pregnancy Study Group (IADPSG) established a classification, accepted by the World Health Organization (WHO) and the International Federation of Gynecology and Obstetrics (FIGO) in 2013, considering gestational age. diagnosis and serum glucose levels to be classified in different scenarios.
Objective: To update the classification scenarios of hyperglycemia in pregnant women and to document, in accordance with what is supported by the evidence, its clinical impact.
Materials and Methods: The PubMed, Google Scholar, and Clinicalkey databases were searched with the MESH terms (“gestational diabetes,” “hyperglycemia in pregnancy”), subsequently filtered according to specific content, defined in the inclusion criteria (studies on epidemiology, diagnosis and classification of hyperglycemia in pregnancy and studies on maternal and perinatal outcomes in hyperglycemia in pregnancy) all articles published between 2008 and 2022.
Results: 25,886 articles were identified, 24 of these met the inclusion criteria; eight were descriptive observational, two systematic reviews and meta-analyses, thirteen reviews of the literature and global consensus, and one randomized clinical trial.
Conclusion: Classifying hyperglycemia within the different clinical scenarios is important for its approach, clinical orientation, additional studies if required, and early management interventions.


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