目的探讨妊娠期糖尿病孕妇妊娠结局和处理方式。方法对2007年1月至2009年1月来我院产科住院分娩的40例妊娠期糖尿病孕妇及40例健康孕妇的分娩情况进行回顾性分析。结果妊娠期糖尿病患者妊娠期高血压疾病、羊水过多、巨大儿、胎儿窘迫、新生儿窒息、剖宫产等发生率明显增高(P<0.05),因此妊娠期糖尿病孕妇大多选择剖宫产结束分娩。结论早期诊断妊娠期糖尿病及控制血糖是减少母婴并发症的关键。 Objective To investigate the gestational outcome and management of pregnant women with gestational diabetes. Methods Retrospective analysis was performed on 40 pregnant women with gestational diabetes mellitus and 40 healthy pregnant women who were hospitalized in our hospital from January 2007 to January 2009. Results The incidence of gestational hypertension, polyhydramnios, macrosomia, fetal distress, neonatal asphyxia and cesarean section were significantly higher in gestational diabetes mellitus (P <0.05). Therefore, pregnant women with gestational diabetes mostly choose cesarean as the end childbirth. Conclusion Early diagnosis of gestational diabetes and blood sugar control is the key to reduce the maternal and infant complications.