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BMC Pregnancy and Childbirth

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Open Access 01-12-2022 | Gestational Diabetes | Research

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

Authors: Zongzhi Yin, Tengteng Li, Lu Zhou, Jiajia Fei, Jingjing Su, Dan Li

Published in: BMC Pregnancy and Childbirth | Issue 1/2022

Abstract

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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Title: Optimal delivery time for patients with diet-controlled gestational diabetes mellitus: a single-center real-world study
Authors: Zongzhi Yin
Tengteng Li
Lu Zhou
Jiajia Fei
Jingjing Su
Dan Li
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Gestational Diabetes
Sectio Ceasarea
Gestational Diabetes
Sectio Caesarea
Published in: BMC Pregnancy and Childbirth / Issue 1/2022
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-022-04683-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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