TY - JOUR T1 - Alterations of carbohydrate metabolism during pregnancy. Effects on the mother and new born infant JO - Medicina Clínica (English Edition) T2 - AU - Guerrero Cervera,Borja AU - Morales-Suarez-Varela,María AU - Perales Marin,Alfredo AU - Peraita-Costa,Isabel AU - Marcos Puig,Beatriz AU - Llopis-Morales,Agustin AU - Llopis-Gonzalez,Agustin SN - 23870206 M3 - 10.1016/j.medcle.2019.04.034 DO - 10.1016/j.medcle.2019.04.034 UR - https://www.elsevier.es/en-revista-medicina-clinica-english-edition--462-articulo-alterations-carbohydrate-metabolism-during-pregnancy--S2387020619305625 AB - IntroductionGestational diabetes is the pathology that most frequently causes medical alterations in pregnancy. The objective of this study is to assess the relationship between the presence of alterations in the metabolism of carbohydrates during pregnancy and the risk of presenting adverse obstetric outcomes in the mother and the fetus. Patients and methodAn observational study was conducted in 799 women who had just given birth. The clinical and obstetric characteristics of the patients, as well as the data related to pregnancy and delivery, including the state of the newborn were analyzed. The information was evaluated in relation to the alterations in the carbohydrate metabolism. Results and discussionFor women with gestational diabetes a 2.64 times greater risk of loss of fetal well-being and 3.14 times greater risk of requiring hospitalization during pregnancy were found. For pregnant women with carbohydrate intolerance, a 2.61 times higher risk of requiring episiotomy in vaginal delivery, 7.54 times greater risk of finding fetal well-being loss, and 2.06 times greater risk of requiring hospitalization were found. The group of carbohydrate intolerance behaved similarly to that of diabetes. ConclusionsThe group of intolerance to carbohydrates is a little studied group and significant obstetric alterations have been found compared to the control group and similar to those of the gestational diabetes group. ER -