Objective:To study the influence of pregnant women with gestational diabetes(GDM)on ma-ternal complications and neonatal outcomes,and to observe the influence of abnormal blood glucose indicators at different time points of oral glucose tolerance test(OGTT)on pregnancy outcomes.Methods:A total of 233 newborns pregnant women with GDM(observation group)from January 2018 to December 2019 were collected.In the control group,233 mothers without abnormal blood glucose during pregnancy were selected.The general data,maternal complications(hypertension,postpartum hemorrhage,postnatal mode),and neonatal outcomes(such as asphyxia at birth,prema-ture infants,macrosomia,neonatal respiratory distress syndrome,hyperbilirubinemia,neonatal hypo-glycemia,cardiac structural abnormalities,neonatal necrotizing enterocolitis,and polycythemia)were compared between the two groups.Results:Comparing the general data between the observation and the control group,there was a statistical difference in the prenatal BMI(P<0.05).The incidences of hypertension and cesarean section in the GDM group were higher than those in the non-GDM group(P<0.05).The incidence of macrosomia was the highest in the patients with both abnormal fasting glucose and OGTT results.Conclusion:The incidence of adverse pregnancy outcomes in GDM preg-nant women is high,with an increase in hypertensive disorders of pregnancy,cesarean section rates,and neonatal adverse outcomes.Moreover,the risk of macrosomia is higher in neonates from mothers with fasting hyperglycemia combined with postprandial 1-hour or 2-hour abnormalities.Therefore,the classified management and precise treatment are importan for pregnant women with GDM.
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