OBSTETRIC PROFILE OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS (GDM) UNDERGOING CESAREAN SECTION IN PUBLIC HOSPITALS IN THE NORTHERN REGION OF BRAZIL: AN INTEGRATIVE REVIEW
DOI:
https://doi.org/10.66104/asht3006Keywords:
Fetal macrosomia, Maternal health, Prenatal careAbstract
Objective: To integrate scientific evidence on the sociodemographic and clinical profile of pregnant women with Gestational Diabetes Mellitus (GDM) undergoing cesarean section in public hospitals in Northern Brazil, analyzing factors associated with surgical indication and strategies to reduce avoidable cesarean sections, aiming to strengthen qualified and context-sensitive obstetric care. Methods: An integrative literature review with a qualitative and descriptive-analytical approach was conducted in PubMed/MEDLINE, SciELO, LILACS, VHL, and Scopus, covering the period from 2006 to 2026. Original studies and reviews published in Portuguese, English, and Spanish were included. Study selection occurred in three stages, followed by thematic analysis of the findings. Results: Of the 233 studies identified, 42 comprised the final sample. A high frequency of cesarean sections among women with GDM was observed, associated with poor glycemic control, macrosomia, obesity, insulin therapy, and previous cesarean delivery. Structural factors, geographic barriers, and social vulnerabilities in Northern Brazil also influenced surgical indication. Final considerations: Cesarean section among women with GDM in Northern Brazil results from the interaction between clinical and contextual factors. Evidence-based strategies, improved prenatal care, and strengthening of the health care network are essential to reduce avoidable cesarean sections and promote equity.
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Copyright (c) 2026 Vitória Guimarães Ferreira, Gustavo Rocha dos Santos, Lhoraynne Leandro Cirqueira, Stéfany Duarte Rocha Parlote, Adriana Cristina Dutra Capila , Jerônimo Vieira Dantas Filho
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