<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019001200002</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i12.3255</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desenlace materno-fetal en pacientes con diagnóstico temprano o tardío de diabetes gestacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal and fetal outcome in early and late diagnosis of gestational diabetes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villota-Burbano]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casillas-Barrera]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Morales]]></surname>
<given-names><![CDATA[Martha Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farías-Barajas]]></surname>
<given-names><![CDATA[Madaí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mayagoitia-Miguel]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de la Mujer  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica de Embarazo de Alto Riesgo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica de Embarazo de Alto Riesgo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>12</numero>
<fpage>785</fpage>
<lpage>791</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019001200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019001200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019001200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Comparar el desenlace materno y fetal en pacientes con diabetes gestacional diagnosticada en la primera y segunda mitad del embarazo.  MATERIALES Y MÉTODOS:  Estudio observacional, retrospectivo y analítico que incluyó a todas las pacientes con diabetes gestacional tratadas en el Hospital de la Mujer de la Ciudad de México entre los meses de marzo de 2014 y diciembre de 2017. Las pacientes se dividieron en, grupo 1: diagnosticadas entre las 13 y 20.6 semanas de embarazo y grupo 2: con diagnóstico posterior. Se identificaron y compararon las principales complicaciones maternas y fetales. El análisis incluyó medidas de tendencia central, t de Student y &#967;2.  RESULTADOS:  Se incluyeron 459 pacientes; 147 embarazadas en el grupo 1 y 312 en el grupo 2. La enfermedad hipertensiva del embarazo (32.7 vs 17.6% p 0.001) y el hiper e hipotiroidismo (7.5 vs 1.6% p 0.001) fueron más frecuentes en el grupo 1. El peso al nacimiento (3054 ± 718.4 vs. 3156 ± 555.7 g. p 0.04) la talla (48.9 ± 3.49 vs 49.2 ± 2.7 cm p 0.05) y el Capurro (37.9 ± 2.5 vs 38.2 ± 1.4 semanas p 0.01) fueron mayores en los neonatos hijos de madres del grupo 2.  CONCLUSIÓN:  El desenlace materno y fetal de pacientes con diabetes gestacional se modifica de acuerdo con las semanas de embarazo al momento del diagnóstico; por esto debe insistirse en la detección oportuna de las complicaciones descritas con el propósito de reducir las repercusiones de la diabetes gestacional en la madre y su hijo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To compare the fetal maternal outcomes in patients with gestational diabetes detected in the first and second half of pregnancy.  MATERIALS AND METHODS:  An observational, retrospective and analytical study was carried out including all patients with gestational diabetes treated at the Women's Hospital of Mexico City in the years 2014 to 2017. Were divided into two groups, group 1 inserted those patients diagnosed between 13 and 20.6 weeks of gestation and 2 with subsequent diagnosis, the main maternal and fetal complications were identified and compared. The results analysis included central trend measures, Student's t and square Chi.  RESULTS:  495 patients were included; Group 1 was composed of 147 pregnant women and group 2 of 312. Maternal complications such as hypertensive disease of pregnancy (32.7 vs 17.6% p 0.001), hyperthyroidism and hypothyroidism (7.5 vs 1.6% p 0.001) were more frequent at the group 1. The birth weight (3054 ± 718.4 vs. 3156 ± 555.7 g. p 0.04), height (48.9 ± 3.49 vs 49.2 ± 2.7 cm p 0.05) and Capurro rating (37.9 ± 2.5 vs 38.2 ± 1.4 weeks p 0.01) were greater in infants in Group 2.  CONCLUSION:  The maternal fetal outcome in patients with gestational diabetes are modified by gestational age at the time of diagnosis, so greater emphasis should be placed on the timely detection of these complications in order to reduce the impact of gestational diabetes in the mother's binomial.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diabetes gestacional]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[enfermedad hipertensiva]]></kwd>
<kwd lng="es"><![CDATA[hipertiroidismo]]></kwd>
<kwd lng="es"><![CDATA[hipotiroidismo]]></kwd>
<kwd lng="es"><![CDATA[peso al nacimiento]]></kwd>
<kwd lng="en"><![CDATA[Gestational diabetes]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Hypertensive disease]]></kwd>
<kwd lng="en"><![CDATA[Hypertiroidism]]></kwd>
<kwd lng="en"><![CDATA[Hypotiroidism]]></kwd>
<kwd lng="en"><![CDATA[Birth weight]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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