Gestational diabetes: a strong independent risk factor for severe XXXX after 34 weeks.

@entity1 @entity6677 @entity3152 @entity3465 @entity1592 @entity1576
PURPOSE: To evaluate if @entity6677 ( @entity6677 ) exposes neonates delivered after 34 weeks to an increased risk of severe @entity1576 ( @entity1576 ). METHODS: Data from 3,237 @entity1 who delivered after 34 weeks with systematic screening for @entity6677 were analyzed. Diagnosis of severe @entity1576 required the association of clinical and radiological criteria with a minimum of 24 h of ventilation and admission to neonatal intensive care unit. RESULTS: A total of 166 (5.1%) cases of @entity6677 were identified. Severe @entity1576 was diagnosed in 7 (4.21%) cases among @entity1 with @entity6677 as compared to 13 (0.42%) in others (p < 0.001). The rate of severe @entity1576 was also significantly higher in cases of @entity3465 (p < 0.001), @entity1592 (p < 0.001), and cesarean section (p = 0.005). After adjustment for these variables, @entity6677 was identified as an independent risk factor for @entity1576 (AOR 11.55, 95% CI 3.9-33.9, p < 0.001). Two other risk factors were also identified: late @entity3152 (AOR 6.13, 95% CI 1.8-21.2, p = 0.004); and hypotrophy (AOR 9.16, 95% CI 2.7-30.5, p < 0.001). CONCLUSIONS: @entity6677 is an independent risk factor for severe @entity1576 after 34 weeks. Neonates from such pregnancies should be monitored carefully.
