Value of Half-Day Outpatient Management of Gestational Diabetes Mellitus Patients During the COVID-19 Epidemic.

Abstract

Objective: To investigate the effects of half-day outpatient management of gestational diabetes mellitus (GDM) on blood glucose, fetal weight, maternal, and infant outcomes during the COVID-19 epidemic.

Materials and methods: From January 1, 2020, to December 31, 2022, 4674 pregnant women were diagnosed with GDM in the Woman and Child Care Center of Qinhuangdao City. Patients with GDM were divided into the case group and the control group according to their own wishes. To retrospectively analyze the differences in the maternal and infant outcomes between the two groups, the glucose tolerance, blood glucose levels before meals, 2 hours after meals, and at bedtime before delivery, hemoglobin A1C before delivery, mode of delivery, birth weight, and maternal and infant complications, perinatal complications of the two groups were observed.

Results: There were significant differences in fasting blood glucose, blood glucose levels at 1 hour and 2 hours after sugar intake between the two groups at the time of admission. Before meals, 2 hours after meals, and at bedtime before delivery, blood glucose levels, and hemoglobin A1C were lower than those of the control group, and the difference was significant. There was no significant difference between the two groups in the complications of low-weight infants, neonatal asphyxia, stillbirth, polyamniotic fluid, premature rupture of membranes, hypertensive diseases during pregnancy, and postpartum hemorrhage. Significant differences were observed in complications such as macrosomia, neonatal hypoglycemia, and neonatal hyperbilirubinemia.

Conclusions: The half-day outpatient management of GDM can effectively control the blood glucose level of pregnant women with GDM and improve clinical outcomes.