Análise da incidência de complicações materno-fetais após o uso dos critérios da IADPSG para o diagnóstico do diabetes gestacional – uma revisão integrativa
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i6e-195072Palavras-chave:
Incidência, Diabetes Gestacional, Complicações, IADPSGResumo
Introdução: O Diabetes Mellitus Gestacional (DMG) é definido como qualquer grau de intolerância à glicose, com início ou primeiro reconhecimento durante a gestação que se resolve após o parto. A hiperglicemia durante o ciclo gravídico-puerperal é responsável pelo risco aumentado de desfechos perinatais indesejados e de complicações materno-fetais. A introdução de novos critérios pela International Association of Diabetes and Pregnancy Study Groups (IADPSG) visa melhorar tais desfechos a longo prazo. Objetivo: Analisar a incidência das complicações materno-fetais após o uso dos critérios da IADPSG para o diagnóstico de diabetes gestacional. Métodos: Trata-se de uma revisão integrativa de literatura, utilizando as bases de dados PUBMED e a Biblioteca Virtual em Saúde (BVS), que inclui as bases de dados MEDLINE, SciELO e LILACS. Os descritores aplicados foram “gestational diabetes”, “outcomes”, “incidence” e “IADPSG”, permutados pelo booleano “AND”. Foram selecionados os artigos publicados nos últimos 10 anos, totalizando 264 artigos. Ao final, 16 publicações foram selecionadas seguindo os critérios de elegibilidade. Resultados: Evidenciou-se o aumento da prevalência do diagnóstico de DMG com a aplicação do critério da IADPSG e redução da incidência da maioria das complicações maternas, fetais e perinatais. Provavelmente, tal resultado está associado com o tratamento dessas gestantes quando diagnosticadas precocemente com o critério da IADPSG. Apesar da discordância de resultados, grande parte dos autores apoia o uso das recomendações da IADPSG para o diagnóstico da DMG. Conclusão: A implementação dos critérios da IADPSG apresentou importante redução das complicações maternas e redução de algumas complicações fetais e perinatais analisadas no presente estudo. Assim, a utilização do critério IADPSG para avaliar a redução da incidência dos desfechos adversos maternos e fetais necessita de continuidade nas pesquisas a fim de determinar as vantagens do uso de tal critério quando comparado aos demais.
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Copyright (c) 2022 Carolina Arissa Tsutida, Carolina Dusi Mendes, Giovana Luiza Corrêa, Fernanda Emanuelle Mallmann, Andressa Miguel Leitão
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