Relación del incremento de los niveles de hemoglobina glicosilada HbA1c con el riesgo de hallazgos ecográficos obstétricos anormales en pacientes de 20 a 45 años con diabetes preexistente o gestacional del Hospital General del Norte de Guayaquil IESS Los Ceibos, durante el período 01/01/2018 – 31/10/2019.

Abstract

The prevalence of DM in pregnancy has increased worldwide in recent years. Since it is a very frequent pathology in Ecuador, it is important to analyze the consequences that it entails; The risk of developing complications from a controlled glycemic control is very high. HbA1c is a laboratory test that allows us to identify if this control is effective. Objectives: To verify the increase in HbA1c levels is related to the risk of abnormal obstetric ultrasound findings. Materials and methods: A relational study was carried out; of cases and controls, observational, retrospective, cross-sectional, analytical to investigate the “Relation of the increase in HbA1c levels with the risk of abnormal obstetric ultrasound findings in patients aged 20 to 45 with preexisting or gestational diabetes at the IESS Los Ceibos Hospital, 01/01/2018 - 10/31/2019 ". Case population: 80 pregnant women with pre-existing or gestational diabetes; control population: 110 postpartum and post-surgical puerperal women. Results: victims with levels> 5.7-6% of HbA1c they are 1,166 more likely to suffer alterations in the pulsatility index of the average uterine arteries than the controls An index> p95, percentage percentage of weight of their children with extreme values Chromosome pathology markers: 1 case with increased nuchal translucency, 1 case with alterations in the venous conduit and 2 cases with ventriculomegaly Conclusion: This study implies that the increase in HbA1c values> 5.7-6% in Pregnant diabetic patients is related to abnormal obstetric ultrasound findings.