Emergency cesarean section rate between women with gestational diabetes and normal pregnant women

Boriboonhirunsarn, Dittakarn; Waiyanikorn, Rungnapa

doi:10.1016/j.tjog.2015.08.024

Cited by 51 publications

(35 citation statements)

References 11 publications

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“…Another study conducted in Taiwan reported a rate of Caesarean delivery of 31.6%. 4 Hypertensive disorders in pregnancy are also indications for Caesarean delivery and in this study 34.4% participants had hypertensive disorders.…”

Section: Perinatal Outcomesmentioning

confidence: 47%

“…3 Diabetes in pregnancy increases the risk for various maternal and foetal complications such as pre-eclampsia, postpartum haemorrhage, infection, birth asphyxia, stillbirth and large for gestational age (LGA) infants. 4 High rates of Caesarean delivery then result in macrosomia due to such reasons as cephalo-pelvic disproportion and foetal distress. 4 The Hypoglycaemia and Adverse Pregnancy Outcomes (HAPO) cohort study demonstrated strong evidence of a continuous rather than threshold relationship of pregnancy outcomes with rising hyperglycaemia.…”

Section: Introductionmentioning

confidence: 99%

“…4 High rates of Caesarean delivery then result in macrosomia due to such reasons as cephalo-pelvic disproportion and foetal distress. 4 The Hypoglycaemia and Adverse Pregnancy Outcomes (HAPO) cohort study demonstrated strong evidence of a continuous rather than threshold relationship of pregnancy outcomes with rising hyperglycaemia. 5 Women with well-controlled blood glucose levels can give birth to healthy neonates.…”

Section: Introductionmentioning

confidence: 99%

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Association between adherence to anti-diabetic therapy and adverse maternal and perinatal outcomes in diabetes in pregnancy

Mukona

Munjanja

Zvinavashe

et al. 2018

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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To analyse the association between adherence to anti-diabetic therapy (diet, physical activity and medications) and perinatal outcomes. Methods: A cohort design was used. Participants were 157 pregnant women with diabetes, and the setting was Mbuya Nehanda and Chitungwiza Maternity Hospitals, Harare, Zimbabwe. Results: Main outcome measures were maternal and perinatal outcomes. Mean adherence to anti-diabetic therapy was 66.7%. Perinatal outcomes observed were hypertensive disorders (34.5%), Caesarean delivery (45.9%), maternal diabetic ketoacidosis (5.1%), maternal hypoglycaemia (15.9%), and candidiasis (19.7%). Neonatal outcomes were perinatal mortality (15.9%), low Apgar score at 1 minute (26.8%), low Apgar score at 5 minutes (24.8%), macrosomia (33.8%), neonatal hypoglycaemia (15.3%), and neonatal hyperbilirubinemia (7.6%). There were significant associations between adherence and Caesarean delivery (RR 1.9, 95% CI 1.28 to 2.81, p = 0.0014), candidiasis (RR 3.95, 95% CI 1.65 to 9.47, p = 0.002), low Apgar score at 1 minute (RR 2.15, 95% CI 1.16 to 3.98, p = 0.015) and at 5 minutes (RR 1.95, 95% CI 1.03 to 3.69, p = 0.039), and perinatal mortality (RR 3.08, 95% CI 1.11 to 8.52, p = 0.018). Conclusions: Adherence to anti-diabetic therapy was sub-optimal and was associated with some adverse perinatal outcomes. Promotion of adherence, through routine individualised counselling, monitoring and assessment, is vital to minimise adverse outcomes.

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Section: Perinatal Outcomesmentioning

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between adherence to anti-diabetic therapy and adverse maternal and perinatal outcomes in diabetes in pregnancy

Mukona

Munjanja

Zvinavashe

et al. 2018

Journal of Endocrinology, Metabolism and Diabetes of South Afri

View full text Add to dashboard Cite

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“…The lower rate of emergency CS in the intervention group was an interesting finding; however, stratified analysis explained this effect to be confounded with parity. Diabetic pregnancies have a higher risk of obstructed labour and emergency CS; this is associated with blood glucose regulation 44 45. Blood glucose regulation during pregnancy may have been better in the intervention group.…”

Section: Discussionmentioning

confidence: 97%

Effect of the Pregnant+ smartphone application in women with gestational diabetes mellitus: a randomised controlled trial in Norway

et al. 2019

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ObjectiveTo assess the effect of the Pregnant+ app on the 2-hour glucose level of the routine postpartum oral glucose tolerance test (OGTT) among women with gestational diabetes mellitus (GDM). The Pregnant+ app was designed to provide information about GDM, and promote physical activity and a healthy diet.DesignA multicentre, non-blinded randomised controlled trial.SettingFive diabetes outpatient clinics in the Oslo region.ParticipantsWomen ≥18 years old with a 2-hour OGTT blood glucose level ≥9 mmol/L who owned a smartphone; understood Norwegian, Urdu or Somali; and were <33 weeks pregnant. A total of 238 women were randomised; 158 women completed the OGTT post partum.InterventionThe Pregnant+ app and usual care, the control group received usual care.Primary and secondary outcomesThe primary outcome was the 2-hour blood glucose level of the routine postpartum OGTT. Secondary outcomes reported were mode of delivery, induction of labour, Apgar score, birth weight, transfer to the neonatal intensive care unit and breast feeding practice. Blood glucose levels during pregnancy, knowledge of diabetes, diet and physical activity are not reported.ResultsNo difference was found for the 2-hour blood glucose level of the postpartum OGTT, with 6.7 mmol/L (95% CI 6.2 to 7.1) in the intervention group and 6.0 mmol/L (95% CI 5.6 to 6.3) in the control group. The significant difference in the proportion of emergency caesarean sections between the intervention group, 10 (8.8%) and the usual care group, 27 (22.1%), disappeared when adjusted for parity. There were no differences in birth weight, breast feeding practice, obstetric complications or transfer to the intensive neonatal care unit. No adverse events were registered.ConclusionThe Pregnant+ app had no effect on 2-hour glucose level at routine postpartum OGTT. After controlling for parity, the difference in emergency caesarean section was not statistically significant.Trial registration number NCT02588729.

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“…Follow‐up of Syrian refugees could not be performed properly because they did not attend the family practice units. It has been shown that gestational diabetes mellitus is associated with emergency cesarean delivery . Similarly, pre‐eclampsia is a risk for cesarean delivery at advanced maternal age …”

Section: Discussionmentioning

confidence: 99%

Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015

Demirci

Topak

Ocakoğlu

et al. 2017

Intl J Gynecology & Obste

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Emergency cesarean section rate between women with gestational diabetes and normal pregnant women

Abstract: The incidence of emergency cesarean delivery increased significantly among nulliparous GDM pregnant women, compared with that in normal pregnant women.

Cited by 51 publications

References 11 publications

Association between adherence to anti-diabetic therapy and adverse maternal and perinatal outcomes in diabetes in pregnancy

Association between adherence to anti-diabetic therapy and adverse maternal and perinatal outcomes in diabetes in pregnancy

Effect of the Pregnant+ smartphone application in women with gestational diabetes mellitus: a randomised controlled trial in Norway

Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015

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