Palabras clave
Reclasificación posparto
Estudio de cohorte
Cómo citar
Resumen
OBJETIVOS: Evaluar la concurrencia de las embarazadas con diabetes gestacional (DG) a la reclasificación, determinar cuántas fueron positivas, si éstas tuvieron peores resultados perinatales y si hubo mayor asociación por factores de riesgo (FR) del embarazo en este grupo. MATERIALES y MÉTODOS: Estudio de cohorte retrospectivo de 1183 pacientes con DG asistidas entre 2010-2021. Se realizó glucemia en ayunas posparto (24 horas) y PTOG 75 g a las seis semanas para reclasificación. RESULTADOS: De 1183 pacientes, el 9,97% (118) tuvieron DBT posparto. El resto (1065) fue citado a las seis semanas. Concurrieron 440 (41,3%) y de ellas el 30,4% (134) fueron positivas. La hiperglucemia en ayunas (HGA) de la PTOG diagnóstica del embarazo fue mayor en las positivas (49,2% vs 36,6%, p<0,001). Estas requirieron más insulina (41,7% vs 18,9%, p<0.001) y tuvieron mayor incidencia de hipertensión inducida por el embarazo y preeclampsia. En los resultados perinatales se encontró una mayor internación en unidad de terapia intensiva neonatal en aquellas positivas. DISCUSIÓN: El 41,3% que concurrieron concuerda con la literatura. La HGA (PTOG diagnóstica) y el requerimiento de tratamiento con insulina son los dos FR del embarazo que podrían “predecir” una prueba positiva.
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