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Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study

BACKGROUND: To determine the optimal delivery time for women with diet-controlled gestational diabetes mellitus by comparing differences in adverse maternal–fetal outcome and cesarean section rates. METHODS: This real-world retrospective study included 1,050 patients with diet-controlled gestational...

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Autores principales: Yin, Zongzhi, Li, Tengteng, Zhou, Lu, Fei, Jiajia, Su, Jingjing, Li, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034608/
https://www.ncbi.nlm.nih.gov/pubmed/35461241
http://dx.doi.org/10.1186/s12884-022-04683-2
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author Yin, Zongzhi
Li, Tengteng
Zhou, Lu
Fei, Jiajia
Su, Jingjing
Li, Dan
author_facet Yin, Zongzhi
Li, Tengteng
Zhou, Lu
Fei, Jiajia
Su, Jingjing
Li, Dan
author_sort Yin, Zongzhi
collection PubMed
description BACKGROUND: To determine the optimal delivery time for women with diet-controlled gestational diabetes mellitus by comparing differences in adverse maternal–fetal outcome and cesarean section rates. METHODS: This real-world retrospective study included 1,050 patients with diet-controlled gestational diabetes mellitus who delivered at 35–42 weeks’ gestation. Data on patient characteristics, maternal–fetal outcomes, and cesarean section rate based on fetal gestational age were collected and analyzed. Differences between deliveries with and without iatrogenic intervention were also analyzed. RESULTS: The cesarean section rate at ≥ 41 weeks’ gestation was significantly higher than that at 39–39 + 6 weeks (56% vs. 39%, p = 0.031). There were no significant differences in multiple adverse maternal or neonatal outcomes at delivery before and after 39 weeks. Vaginal delivery rates were increased significantly at 39–39 + 6 weeks due to iatrogenic intervention (p = 0.005) and 40–40 + 6 weeks (p = 0.003) in patients without and with spontaneous uterine contractions, respectively. CONCLUSIONS: It’s recommended that optimal delivery time for patients with diet-controlled gestational diabetes mellitus should be between 39- and 40 + 6 weeks’ gestation. Patients who have Bishop scores higher than 4 can undergo iatrogenic intervention at 39–39 + 6 weeks. However iatrogenic interventions are not recommended for patients with low Bishop scores.
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spelling pubmed-90346082022-04-24 Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study Yin, Zongzhi Li, Tengteng Zhou, Lu Fei, Jiajia Su, Jingjing Li, Dan BMC Pregnancy Childbirth Research BACKGROUND: To determine the optimal delivery time for women with diet-controlled gestational diabetes mellitus by comparing differences in adverse maternal–fetal outcome and cesarean section rates. METHODS: This real-world retrospective study included 1,050 patients with diet-controlled gestational diabetes mellitus who delivered at 35–42 weeks’ gestation. Data on patient characteristics, maternal–fetal outcomes, and cesarean section rate based on fetal gestational age were collected and analyzed. Differences between deliveries with and without iatrogenic intervention were also analyzed. RESULTS: The cesarean section rate at ≥ 41 weeks’ gestation was significantly higher than that at 39–39 + 6 weeks (56% vs. 39%, p = 0.031). There were no significant differences in multiple adverse maternal or neonatal outcomes at delivery before and after 39 weeks. Vaginal delivery rates were increased significantly at 39–39 + 6 weeks due to iatrogenic intervention (p = 0.005) and 40–40 + 6 weeks (p = 0.003) in patients without and with spontaneous uterine contractions, respectively. CONCLUSIONS: It’s recommended that optimal delivery time for patients with diet-controlled gestational diabetes mellitus should be between 39- and 40 + 6 weeks’ gestation. Patients who have Bishop scores higher than 4 can undergo iatrogenic intervention at 39–39 + 6 weeks. However iatrogenic interventions are not recommended for patients with low Bishop scores. BioMed Central 2022-04-23 /pmc/articles/PMC9034608/ /pubmed/35461241 http://dx.doi.org/10.1186/s12884-022-04683-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Yin, Zongzhi
Li, Tengteng
Zhou, Lu
Fei, Jiajia
Su, Jingjing
Li, Dan
Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title_full Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title_fullStr Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title_full_unstemmed Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title_short Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
title_sort optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034608/
https://www.ncbi.nlm.nih.gov/pubmed/35461241
http://dx.doi.org/10.1186/s12884-022-04683-2
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