بررسی پیامد بارداری در مادران مبتلا به دیابت حاملگی با و بدون سابقه‌ی ابتلا به سندرم تخمدان پلی‌کیستیک

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 مربی، گروه پرستاری، دانشکده‌ی علوم پزشکی شوشتر، شوشتر، ایران

2 گروه پرستاری، دانشکده‌ی پرستاری- مامایی، دانشگاه جندی‌شاپور اهواز، اهواز، ایران

3 استادیار، مرکز تحقیقات دیابت، پژوهشکده‌ی سلامت، دانشگاه علوم پزشکی جندی‌شاپور اهواز، اهواز، ایران

4 دانشجو، گروه پرستاری، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی علوم پزشکی شوشتر، شوشتر، ایران

5 مربی، گروه بهداشت، دانشکده‌ی علوم پزشکی شوشتر، شوشتر، ایران

چکیده

مقدمه: دیابت بارداری و سندرم تخمدان پلی‌کیستیک (Polycystic ovary syndrome یا PCOS)، شایع‌ترین اختلال در دوران باروری است که موجب بروز عوارض در مادر و جنین می‌گردد. هدف از انجام این مطالعه، تعیین عوارض مادری و نوزادی در مادران مبتلا به دیابت حاملگی با و بدون سابقه‌ی ابتلا به (PCOS) بود.روش‌ها: این مطالعه، یک مطالعه‌ی مورد- شاهدی بود که طی آن، 134 زن باردار مبتلا به دیابت حاملگی با یا بدون سابقه‌ی ابتلا به PCOS بستری در بخش زایمان بیمارستان امام خمینی اهواز طی سال‌های 96-1395 انتخاب و به دو گروه 67 نفر مورد (با سابقه‌ی ابتلا به PCOS) و شاهد تقسیم شدند. اطلاعات مورد نیاز شامل اطلاعات جمعیت‌شناختی، عوارض مادری (پره‌اکلامپسی، پارگی کیسه‌ی آمنیوتیک، آب‌ریزش و غیره) و نوزادی (کاهش رشد داخل رحمی، بستری در Neonatal intensive care unit یا NICU) از پرونده‌ها استخراج و در پرسش‌نامه‌ها ثبت شد. جهت تجزیه و تحلیل داده‌ها، از آزمون‌های آماری با نرم‌افزار SPSS استفاده شد.یافته‌ها: از بین پیامدهای بارداری در زمینه‌ی نوزاد، کاهش رشد جنین در داخل رحم (360/0 = P) و بستری در بخش NICU (473/0 = P) و در زمینه‌ی مادر نیز پارگی زودرس کیسه‌ی آمنیوتیک (530/0 = P) و آب‌ریزش (610/0 = P) در دو گروه مورد و شاهد تفاوت آماری معنی‌داری نداشت، اما از نظر پره‌اکلامپسی بین دو گروه تفاوت آماری معنی‌داری دیده شد (001/0 > P). با استفاده مدل Logistic regression، متغیرهای وزن مادر (007/0 = P)، سابقه‌ی دیابت بارداری (018/0 = P) و سن مادر (040/0 = P) توانستند حدود 25 درصد از متغیر وابسته را پیش‌بینی کنند.نتیجه‌گیری: نتایج، نشان دهنده‌ی تأثیر سابقه‌ی ابتلا به PCOS در حضور Gestational diabetes mellitus (GDM) در ایجاد عارضه‌ی پره‌اکلامپسی، زایمان زودرس و افزایش زایمان سزارین در مادران است، اما این سندرم، بر سایر عوارض مادری و نوزادی مورد مطالعه بی‌تأثیر است.

کلیدواژه‌ها

عنوان مقاله [English]

Pregnancy Outcomes in Mothers with Gestational Diabetes Mellitus with and without Polycystic Ovary Syndrome

نویسندگان [English]

  • Akram Hemmatipour 1
  • Seyedeh Mina Shafiee 2
  • Shahram Baraz 3
  • Shaghayegh Edivandi 4
  • Syed Ali Mosavi 5
1 Instructor, Department of Nursing, Shoushtar University of Medical Sciences, Shoushtar, Iran
2 Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Assistant Professor, Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4 Student, Department of Nursing, Student Research Committee, Shoushtar University of Medical Sciences, Shoushtar, Iran
5 Instructor, Department of Health, Shoushtar University of Medical Sciences, Shoushtar, Iran
چکیده [English]

Background: Gestational diabetes mellitus and polycystic ovary syndrome (PCOS) are the most common disorders during fertility period, which causes complications in mother and fetus. The purpose of this study was to determine the maternal and neonatal complications in mothers with gestational diabetes mellitus (GDM) with and without PCOS.Methods: This was a case-control study on 134 pregnant women with gestational diabetes mellitus in Imam hospital, Ahvaz, Iran during the years 2016-2017 were selected and divided into two groups of 67 cases with or without PCOS. Required information including demographic information, and maternal (preeclampsia, amniotic membrane rupture, runny nose, and others) and infant [intrauterine growth retardation, and hospitalization in neonatal intensive care unit (NICU)] complications were extracted from the records and recorded in questionnaires. Data were analyzed using SPSS software.Findings: Among the complications of pregnancy, there was no significant difference between the case and control groups in cases the growth of the fetus in the uterus (P = 0.360) and hospitalization in NICU (P = 0.473) in neonates, and premature rupture of the amniotic sac (P = 0.530), waterlogging (P = 0.610) in mothers. However, there was a significant difference in preeclampsia between the two groups (P < 0.001). Using logistic regression model, maternal weight variables (P = 0.007), gestational diabetes mellitus (P = 0.018), and maternal age (P = 0.040) were able to predict approximately 25% of dependent variables.Conclusion: The results of this study indicate that the PCOS in presence of gestational diabetes mellitus has role in preeclampsia, preterm delivery, and cesarean delivery is mothers, but does not affect other maternal and neonatal complications.

کلیدواژه‌ها [English]

  • Polycystic ovary syndrome
  • Gestational diabetes
  • Pregnancy complications

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 36، شماره 497 - شماره پیاپی 497
آذر و دی 1397
صفحه 1142-1148

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سابقه مقاله

  • تاریخ دریافت: 21 شهریور 1397
  • تاریخ بازنگری: 07 اردیبهشت 1403
  • تاریخ پذیرش: 17 فروردین 1401

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