Resumo: Não disponível. / Abstract: To evaluate the prevalence of lower GTI in positive GDM screening and if early screen and treat strategy for lower GTI improved maternal and erinatal outcomes. Patients and methods: Case control study with 400 pregnant women divided into four groups according to GDM screening and screen and treat strategy for lower GTI which included a vaginal sample ollection, followed by prescription and follow-up. Results: The prevalence of ower GTI among 200 GDM screened was 68.5%. The screen and treat strategy or lower GTI in GDM screened patients improved gestational, perinatal and puerperal outcomes. The screen and treat strategy for lower GTI increased the isk for gestational age;::: 37 weeks (OR= 3.01, CI 95% 1.26 - 7.18) and ewborn weight (NBW) > 2500 9 (OR= 6.36, CI 95% 2.87 - 14.06), and decreased the risk for adverse gestational outcome (OR= 0.25, CI 95% 0.13 .48) and for adverse perinatal outcome (OR= 0.31, CI 95% 0.16- 0.59). The ositive GDM screening increased the risk of cesarean section (OR=2.02, CI 95% 1.06 - 3.85). There was no interaction between screen and treat strategy 'or lower GTI and GDM screening. Conclusions: The early screen and treat strategy for lower GTI improved gestational, perinatal and puerperal outcomes "n positive and negative GDM screened. This strategy needs to be incorporated in the first prenatal care visit, regardless the positive or negative GDM screenlng. / Orientador: Marilza Vieira Cunha Rudge / Coorientador: Márcia Guimarães da Silva / Banca: Paulo César Giraldo / Banca: Geraldo Duarte / Banca: José Antonio Simões / Banca: José Martinez de Oliveira / Doutor
| Identifer | oai:union.ndltd.org:UNESP/oai:www.athena.biblioteca.unesp.br:UEP01-000548212 |
| Date | January 2008 |
| Creators | Tristão, Andréa da Rocha |
| Contributors | Universidade Estadual Paulista "Júlio de Mesquita Filho" Faculdade de Medicina. |
| Publisher | Botucatu : [s.n.], |
| Source Sets | Universidade Estadual Paulista |
| Language | Portuguese |
| Detected Language | English |
| Type | text |
| Format | 116 f.+ |
| Relation | Sistema requerido: Adobe Acrobat Reader |
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