A 32-year-old pregnant woman was discovered to have high blood sugar from the 28th week of pregnancy but did not receive treatment. By the 40th week, the fetal heart rate was slow. When she arrived at the hospital, the fetus was stillborn.
This is her fourth pregnancy, including one miscarriage, the second child weighed 4 kg. This time, at 28 weeks pregnant, she was discovered to have high blood sugar but did not treat it. Subsequent prenatal check-ups showed the fetus was large and had polyhydramnios. The pregnant woman had symptoms of thirst and frequent urination, but it was not considered dangerous.
A week ago, at 40 weeks, the pregnant woman went to the doctor and found that the fetal heart rate was slow. When she was transferred to Bach Mai Hospital, the fetal heart was lost, and the doctor had to perform a cesarean section.
“The patient was too subjective,” Dr. Nguyen Quang Bay, Head of the Department of Endocrinology and Diabetes, Bach Mai Hospital, said, pointing out that the patient had many risk factors or signs of diabetes. such as a history of having a biological father with type 2 diabetes, a history of giving birth to a large baby, a large fetus and polyhydramnios; High blood sugar was detected, showing symptoms of diabetes.
According to Dr. Bay, the patient’s HbA1C (blood sugar index) test result at hospital admission was 8.3%, proving high blood sugar from 3-4 months ago. Therefore, stillbirth is an inevitable consequence, possibly due to acidosis or severe heart or neurological defects.
Doctors recommend that pregnant women have the following risk factors: age over 35, multiple pregnancies or IVF pregnancies, history of giving birth to large children, family members with type 2 diabetes, being overweight or obese. , history of polycystic ovary syndrome or history of gestational diabetes in a previous pregnancy… you need to be screened for gestational diabetes in the first 3 months.
At the first prenatal check-ups, if the pregnant woman does not have diabetes, she needs to be re-checked at 24-28 weeks of pregnancy. When diagnosed with gestational diabetes, it is necessary to treat it immediately with diet, exercise, monitor capillary blood sugar at home, and have regular check-ups with an endocrinologist.