Abstract
Gestational diabetes is defined as any degree of glucose intolerance with first recognition during pregnancy. The objective was to establish if an association exists between states of glucose intolerance in non-diabetic pregnant women, for present cutoff values and adverse effects on the newborn. A study was conducted in which 194 pregnant women were analyzed. Significant associations were found, RR with [IC 95%] were the following: for maternal glycemia higher than 92 mg/dl in the fasting state or higher than 180 mg/dl at 60 minutes Overload: neonatal hypoglycemia 1,83 [1,45-2,32]; macrosomia 1,78 [1,39-2,27] and prematurity 1,80 [1,42-2,29]. For cases in which both cutoff points were overcome: hyperbilirubinemia 3,15 [1,95-5,11]; hypoglycemia 3,33 [2,12-5,20]; macrosomia 2,31 [1,26-4,42]; neonatal intensive care 3,15 [1,95-5,11] and prematurity 2,67 [1,53-4,78]. It is necessary to treat pregnant women with glucose intolerance to reduce risk of neonatal adverse effects.
