Amir Aviram1, Liora Guy1, Eran Ashwal1, Liran Hiersch1, Yariv Yogev1, Eran Hadar2. 1. Helen Schneider Hospital for Women, Rabin Medical Center, Petah-Tikva, Israel; The Sackler Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, Tel-Aviv, Israel. 2. Helen Schneider Hospital for Women, Rabin Medical Center, Petah-Tikva, Israel; The Sackler Faculty of Medicine, Tel-Aviv University, Ramat-Aviv, Tel-Aviv, Israel. Electronic address: eranh42@gmail.com.
Abstract
AIM: To assess pregnancy outcome among women with gestational diabetes mellitus (GDM) delivering at the late preterm period. METHODS: Retrospective observational cohort of all women with GDM who delivered a singleton fetus at the late preterm birth period (34+0/7 to 36+6/7 weeks of gestation). The study group included all women diagnosed with GDM and were compared to a control group of women delivering at the same gestational age period but without known GDM. RESULTS: 1849 women were included in the study, of whom 132 (7.1%) were diagnosed with GDM and 1717 (92.9%) were not. Women with GDM had a lower rate of spontaneous vaginal delivery (45.5% vs. 62.9%, p<0.001) and a higher rate of cesarean delivery (50.8% vs. 31.8%, p<0.001). GDM diagnosis incurs an adjusted ratio of 1.82 for cesarean delivery (95% CI 1.24-2.66, p=0.002). Neonates of mothers with GDM had significant higher mean birth weight and birth weight percentile, including higher rate of large-for-gestational age newborns. There were no differences in mortality or other parameters for neonatal morbidity. CONCLUSION: according to our data, late preterm occurring in women with GDM does not confer an increased risk for neonatal complications.
AIM: To assess pregnancy outcome among women with gestational diabetes mellitus (GDM) delivering at the late preterm period. METHODS: Retrospective observational cohort of all women with GDM who delivered a singleton fetus at the late preterm birth period (34+0/7 to 36+6/7 weeks of gestation). The study group included all women diagnosed with GDM and were compared to a control group of women delivering at the same gestational age period but without known GDM. RESULTS: 1849 women were included in the study, of whom 132 (7.1%) were diagnosed with GDM and 1717 (92.9%) were not. Women with GDM had a lower rate of spontaneous vaginal delivery (45.5% vs. 62.9%, p<0.001) and a higher rate of cesarean delivery (50.8% vs. 31.8%, p<0.001). GDM diagnosis incurs an adjusted ratio of 1.82 for cesarean delivery (95% CI 1.24-2.66, p=0.002). Neonates of mothers with GDM had significant higher mean birth weight and birth weight percentile, including higher rate of large-for-gestational age newborns. There were no differences in mortality or other parameters for neonatal morbidity. CONCLUSION: according to our data, late preterm occurring in women with GDM does not confer an increased risk for neonatal complications.
Authors: McKenzie K Wallace; Nitin Shivappa; Michael D Wirth; James R Hébert; Larraine Huston-Gordesky; Fernanda Alvarado; Sylvie Hauguel-de Mouzon; Patrick M Catalano Journal: Biol Res Nurs Date: 2021-01-29 Impact factor: 2.318