2018
DOI: 10.1002/14651858.cd012910
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Planned birth at or near term for improving health outcomes for pregnant women with gestational diabetes and their infants

Abstract: There is limited evidence to inform implications for practice. The available data are not of high quality and lack power to detect possible important differences in either benefit or harm. There is an urgent need for high-quality trials evaluating the effectiveness of planned birth at or near term gestation for women with gestational diabetes compared with an expectant approach.

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Cited by 16 publications
(10 citation statements)
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“…This is reflected in the rates of induction of labour seen in our cohort, which for women in non-dedicated clinics was similar to the non-GDM population but was increased in women in the dedicated clinics. Although there is limited evidence to guide practice in this area, 18 this result reflects the differing approaches taken towards patient management within and outside of the dedicated clinics.…”
Section: Discussionmentioning
confidence: 99%
“…This is reflected in the rates of induction of labour seen in our cohort, which for women in non-dedicated clinics was similar to the non-GDM population but was increased in women in the dedicated clinics. Although there is limited evidence to guide practice in this area, 18 this result reflects the differing approaches taken towards patient management within and outside of the dedicated clinics.…”
Section: Discussionmentioning
confidence: 99%
“…A separate retrospective cohort study found that routine induction of labour at 38 or 39 weeks in women with gestational diabetes was associated with a lower incidence of caesarean section and a higher incidence of neonatal intensive care unit admission when induction was prior to 39 weeks 68 . A Cochrane review published in 2018 included only the GINEXMAL trial and as such concluded that there is insufficient evidence regarding benefits of induction in gestational diabetes 69 . In terms of mode of delivery, caesarean section is recommended above 4500g by the American College of Obstetricians and Gynecologists 5, 12 , whereas for the International Federation of Gynecology and Obstetrics the threshold is 4000g 14 .…”
Section: Obstetrical Approachmentioning
confidence: 99%
“…A 2018 Cochrane systematic review attempted to determine the optimal timing of delivery for women with preexisting diabetes but concluded that there was insufficient evidence to answer this question as no trials had been published in this population . A similar Cochrane systematic review, focusing on women with GDM, also concluded that there was limited data to support clinical decision making . To date, only three small randomized controlled trials of 200 women, 425 women, and 100 women, respectively, have been published on timing of delivery among women with diabetes.…”
Section: Introductionmentioning
confidence: 99%
“…12 A similar Cochrane systematic review, focusing on women with GDM, also concluded that there was limited data to support clinical decision making. 13 To date, only three small randomized controlled trials of 200 women, 14 425 women, 15 and 100 women, 16 respectively, have been published on timing of delivery among women with diabetes.…”
Section: Introductionmentioning
confidence: 99%
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