Investigation on the opportunity of termination of pregnancy in women with gestational diabetes

Objective To investigate the best opportunity for termination of pregnancy in women with gestational diabetes mellitus (GDM). Methods The pregnancy outcomes of 130 women diagnosed as GDM with well-controlled serum glucose were retrospectively analyzed, then the subjects were divided into two groups according to termination opportunity: 39 1/7 ~41 gestational weeks (group A), 38~39 gestational weeks (group B, the control group). The general clinical data and outcomes were compared between the two groups. Results The maternal age,height, pre-pregnancy BMI, pregnancy and delivery times in two groups showed no statistically significant difference (P0.05). The fetal macrosomia, fetal distress, neonatal hyperbilirubinemia, gestational hypertension of group A were significantly higher than those of group B (P0.05). The postpartum hemorrhage, neonatal hypoglycemia showed no statistically significant difference between the two groups (P0.05). Conclusion For women of GDM with well-controlled serum glucose, terminating pregnancy on 38~39 weeks can reduce the complications of mothers and infants and get a good pregnancy outcome.