OBJECTIVE: TO STUDY THE MAIN COMPLICATIONS AND PERINATAL OUTCOMES IN WOMEN WITH GESTATIONAL DIABETES MELLITUS
Material and methods. 58 pregnant women with gestational diabetes mellitus aged 22 to 42 years were examined(themeanage of theexamineeswas 33.0 ± 5.8). The features of obstetric-gynecological history, burdened by the course of previous pregnancies, were studied. Correlation dependence between different types of violations of carbohydrate metabolism was revealed. For the diagnosis of GDD, ICD-10 classification was used. The degree of severity of diabetes was determined by the Goeeke scale in the modification of GM. Savelieva.The analysis of the obtained results was carried out with the help of the program Statistika 6.0 for windows, the correlation dependence was determined using the Spearman test r, the differences were considered statistically significant at p <0.5.Results and discussion. The severity of the course of the HSD varied from mild severity in 21 (36.2%), moderate in 37 (63.7%), 87% in the structure of complications of pregnancy. A positive correlation was found between the development of gestosis and obesity of various degrees before pregnancy, a pathological weight gain during pregnancy with chronic pyelonephritis. The obtained results testify to the influence of GSD on the development of gestosis and FPN in 86% of cases, even in the case of timely diagnosis and subsequent correction of GDD. Conclusions. Thus, the presence of gestational diabetes mellitus, even with its compensated course, increases the risk of gestosis of varying severity, chronic fetoplacental insufficiency, a violation of uteroplacental blood flow and unfavorable outcomes for the fetus with the development of fetopathy.