Gestational diabetes mellitus in polymorbid pathology: interdisciplinary approach to pregnancy management in the II–III trimesters based on modern clinical guidelines. Clinical case

Gestational diabetes mellitus (GDM) is a serious problem in obstetrics, especially in combination with polymorbid pathology. The introduction of an interdisciplinary approach to pregnancy management makes it possible to minimize risks and improve the quality of medical care. The purpose of this work is to evaluate the features of pregnancy management in a patient with diagnosed GDM and concomitant diseases, to analyze the effectiveness of modern clinical recommendations and interdisciplinary interaction in reducing obstetric and perinatal complications. Materials and methods. The study examined a clinical case of a patient with GDM on the background of polymorbid pathology. To assess the patient's condition, laboratory and instrumental research methods were carried out as part of prolongation of the present pregnancy, treatment of the detected pathology and preparation for the upcoming birth through the natural birth canal under CTG control, as well as prevention of bleeding from the end of the second period of labor. Results. Positive dynamics was observed against the background of the therapy. Conclusions. An interdisciplinary approach to pregnancy management in a patient with GDM and polymorbid pathology allowed minimizing the risk of obstetric and perinatal complications. The use of modern clinical recommendations, including personalized nutrition, glycemic control and timely medication correction, ensured a favorable pregnancy outcome for both mother and child.