Manaus City Hall reinforces the importance of prenatal care for the treatment of gestational diabetes

Manaus City Hall reinforces the importance of prenatal care for the treatment of gestational diabetes

Manaus City Hall reinforces the importance of prenatal care for the treatment of gestational diabetes


With the participation of more than 80 people, the web conference “Dialogues in Primary Health Care”, an initiative of the Manaus City Hall to strengthen the qualification of the municipality’s health servers, dealt with gestational diabetes this Thursday, 9/1. At the meeting, prenatal care was highlighted as essential to prevent the disease from harming the health of mothers and babies.

Obstetrician Carlos Henrique Freire, who works at the Araújo Lima High Risk Ambulatory and who is also an adjunct professor at the Federal University of Amazonas (Ufam), participated in the virtual conference and pointed out that diabetes should be a global priority for health due to its impact on people’s lives.

In Brazil, 56.9% of the population is overweight and 20% are severely obese, risk factors for the occurrence of this disease, signs that must be considered by health professionals. According to Carlos Henrique, currently 415 million people in the world suffer from diabetes.

“This disease is responsible for one death every 6 seconds in the world. Therefore, world authorities are already talking about an epidemic, because health care expenditures are high for treatment. Hence the need for the diagnosis of gestational diabetes to be a priority, because this is the disease that poses the greatest risk of morbidity for pregnant women and also for the baby”, emphasized the obstetrician.

Carlos advised that an important care to be considered is the preconception consultation by women, which allows the assessment and identification of risks in pregnancy, including diabetes.

“At the same time, it is important that, when pregnant, women start prenatal care as soon as possible, which will allow diabetes to be identified and treatment initiated. If so, it is necessary for the pregnant woman to start a diet, removing flour, sugar, fried foods, bread, monitor blood glucose and if it reaches the expected standards, undergo insulin therapy. Therefore, Hiperdia is a fundamental support”, said the doctor.

The technique of Semsa’s Women’s Health Division, obstetric nurse Gerda Coêlho, also participated in the virtual meeting and spoke about the importance of prenatal exams so that the health conditions of the pregnant woman are verified. Once the disease is confirmed, the pregnant woman must be referred to high-risk prenatal clinics via the Regulatory System (Sisreg).

“It is important to highlight that, since a high-risk pregnancy does not rule out the follow-up of this pregnant woman in Primary Health Care. This pregnant woman is followed up by both primary and medium-complexity care”, explained Gerda.

The head of the Food and Nutrition Center, nutritionist Lia Ferreira, and obstetric nurse Edilson Albuquerque, from the Division of Attention to Women’s Health, also collaborated highlighting the importance of following a healthy diet and exercising.

Diabetes in pregnant women can result in complications such as fetal death, congenital malformations, premature birth, increased probability of cesarean delivery, newborn hypoglycemia after birth, increased risk of obesity in childhood and adolescence, among others.

Pregnant women in this condition should be referred for follow-up at the High-Risk Prenatal Outpatient Clinic (Apnar), which is a Specialized Care service. It is important to emphasize that the pregnant woman must be instructed not to lose the bond with the primary care team that initiated the follow-up, Apnar must keep the health team informed, through counter-referral.

High-risk prenatal care covers about 10% to 15% of all pregnancies, hence the need to maintain constant surveillance in order to reduce maternal and perinatal morbidity and mortality in this group. Among the morbidities that lead to high-risk stratification, the most prevalent are diabetes mellitus, gestational diabetes mellitus, chronic hypertension and pregnancy-specific hypertensive syndrome.

Diabetes in pregnant women can cause severe complications such as fetal death, congenital malformations, premature birth, increased probability of cesarean delivery, newborn hypoglycemia after birth, increased risk of obesity in childhood and adolescence, among others.

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Text – Tania Brandão / Semsa

Photos – Disclosure / Semsa

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