OS DESFECHOS MATERNOS E FETAIS FRENTE AO DIABETES MELLITUS GESTACIONAL (DMG): REVISÃO INTEGRATIVA

Abstract

Objective: to describe maternal and fetal outcomes associated with Gestational Diabetes Mellitus in women admitted to the health service. Methods: integrative literature review carried out from March to April 2023 in five electronic databases: SCOPUS Elsevier, PUBMED Central - PMC, Web of Science, CINAHL – Cumulative Index to Nursing and Allied Heath Literature and on the Virtual Library portal in Health (VHL). Results: of the 13 articles selected, outcomes related to prematurity and cesarean section were predominant. Studies confirm the relationship between macrosomic fetuses and prematurity prior to obstetric complications. In addition to these, macrosomia, prolonged hospitalization, impaired fetal growth, hypertension and previous miscarriage are clinical and obstetric risk factors that are related to negative outcomes of GDM. Conclusions: the absence of adequate prenatal consultations and the late management of complications associated with Gestational Diabetes represent concerns for maternal and fetal health. The importance of effective coordination between high-risk services and primary care is indisputable. Early detection of gestational diabetes mellitus, along with appropriate monitoring and a treatment plan, can significantly reduce the risks and complications associated with this condition.