Effect of termination of pregnancy in different periods on pregnancy outcomes in gestational diabetes

Objective:To explore the effect of termination of pregnancy in different periods on pregnancy outcomes in gestational diabetes.Methods:Clinical data of 215 cases with gestational diabetes were analysed retrospectively,then the cases were divided into three groups according to termination opportunity of pregnancy:28～36 gestational weeks(group Ⅰ),37～39 gestational weeks(group Ⅱ),≥40 gestational weeks(group Ⅲ).The incidences of maternal complications in three groups were analysed,including perinatal morbidity,prenatal mortality,macrosomia,hypertensive disorder complicating pregnancy,cesarean section,postpartum hemorrhage.Results:The incidence of maternal complications in group Ⅱ was lower than those in the other groups(P0.05);the incidence of macrosomia in group Ⅰ was lower than those in the other groups(P0.05);the incidence of hypertensive disorder complicating pregnancy in group Ⅲ was higher than those in the other groups;the pregnancy outcomes of women with well-controlled serum glucose were better.Conclusion:①For the pregnant women with gestational diabetes,the level of serum glucose is a key factor of pregnancy outcomes,well-controlled serum glucose will improve pregnancy outcomes.②Termination of pregnancy in 37～39 gestational weeks can reduce the incidence of maternal complications.