Management of gestational diabetes in women with a concurrent Sars-Cov-2 infection, experience of a single center in Northern Italy
Articolo
Data di Pubblicazione:
2020
Citazione:
Management of gestational diabetes in women with a concurrent Sars-Cov-2 infection, experience of a single center in Northern Italy / F. D'Ambrosi, G. Rossi, C.M. Soldavini, V. Maggi, G.E. Cetera, I.F. Carbone, D. Di Martino, M. Di Maso, E. Ferrazzi. - In: INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS. - ISSN 0020-7292. - (2020). [Epub ahead of print]
Abstract:
Objective: In this study we describe the management of women with gestational diabetes (GD) and an ongoing Sars-Cov-2 infection. The aim of the study is to evaluate whether the COVID-19 infection can further complicate pregnancies and thus if the protocol we usually use for GDM pregnancies is also applicable to patients who have contracted a Sars-Cov-2 infection.
Methods: This is a retrospective study analysing all pregnant women with gestational diabetes and a concomitant COVID-19 infection admitted to our Institution for antenatal care between March 1st and April 30th 2020.
Results: Among pregnant women with GD and a concomitant COVID-19 infection, the mean age was 32,9 (SD 5,6) years. Two patients (33%) were of Caucasian ethnicity while four (67%) were non-Caucasian. All patients were diagnosed with COVID-19 during the third trimester of pregnancy. Two women were asymptomatic while four were symptomatic. Only two patients (33,3%) received treatment with insulin. None of the patients required intensive care or mechanical ventilation. No complications were found among the newborns.
Conclusion: the COVID-19 infection was not found to worsen the prognosis of GD patients or of their offspring. Glycaemic monitoring, diet therapy and insulin, when needed, are sufficient for a good metabolic control and a favourable maternal and fetal outcome.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
COVID-19; Gestational diabetes; IADPSG; diet; insulin; management; northern-Italy; pandemic
Elenco autori:
F. D'Ambrosi, G. Rossi, C.M. Soldavini, V. Maggi, G.E. Cetera, I.F. Carbone, D. Di Martino, M. Di Maso, E. Ferrazzi
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