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2017•Obstetric Anesthesia DigestRequires access

Timing of Delivery and Pregnancy Outcomes in Women With Gestational Diabetes

Maisa N. Feghali, Steve N. Caritis, Janet M. Catov, Christina Scifres

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Abstract

(Am J Obstet Gynecol. 2016;215:243.e1–243.e7) Gestational diabetes mellitus (GDM) can lead to other pregnancy-related adverse effects such as macrosomia and birth trauma. To prevent these maternal and neonatal risks, labor is usually induced at term in women with GDM. However, the risks and benefits of induction of labor (IOL) have been inadequately analyzed. The objective of this study was to assess the correlation between IOL, gestational age and rates of cesarean delivery (CD) in women who have GDM.

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What this paper is about

(Am J Obstet Gynecol. 2016;215:243.e1–243.e7) Gestational diabetes mellitus (GDM) can lead to other pregnancy-related adverse effects such as macrosomia and birth trauma. To prevent these maternal and neonatal risks, labor is usually induced at term in women with GDM. However, the risks and benefits of induction of labor (IOL) have been inadequately analyzed. The objective of this study was to assess the correlation between IOL, gestational age and rates of cesarean delivery (CD) in women who have GDM.

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Available abstract

(Am J Obstet Gynecol. 2016;215:243.e1–243.e7) Gestational diabetes mellitus (GDM) can lead to other pregnancy-related adverse effects such as macrosomia and birth trauma. To prevent these maternal and neonatal risks, labor is usually induced at term in women with GDM. However, the risks and benefits of induction of labor (IOL) have been inadequately analyzed. The objective of this study was to assess the correlation between IOL, gestational age and rates of cesarean delivery (CD) in women who have GDM.

Key concepts: Medicine, Gestational diabetes, Obstetrics, Cesarean delivery, Pregnancy, Fetal macrosomia, Diabetes mellitus, Gestational age

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