A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes
Aim. To evaluate the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes (GD).Materials and methods. This retrospective cohort study conducted at the Federal Almazov Northwest Medical Research Centre included 251 patients with GD who had given birth during 2014....
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2016-05-01
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| Series: | Сахарный диабет |
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| Online Access: | https://www.dia-endojournals.ru/jour/article/view/7572 |
| _version_ | 1826588135783399424 |
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| author | Ofelia A. Bettikher Irina E. Zazerskaya Polina V. Popova Vitaliy N. Kustarov |
| author_facet | Ofelia A. Bettikher Irina E. Zazerskaya Polina V. Popova Vitaliy N. Kustarov |
| author_sort | Ofelia A. Bettikher |
| collection | DOAJ |
| description | Aim. To evaluate the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes (GD).Materials and methods. This retrospective cohort study conducted at the Federal Almazov Northwest Medical Research Centre included 251 patients with GD who had given birth during 2014. The patients were divided into the following two groups: one included 210 patients who were treated with diet and the other included 41 patients who were treated with insulin. Clinical outcomes were compared between patients who had induced (n = 43) or spontaneous (n = 188) labour.Results. Complications of labour, such as dysthyroidism and uterine inertia, were significantly more common (p < 0. 05) in induced labour patients than in those who had spontaneous labour (16. 3 vs. 3. 2% and 7% vs. 0%, respectively). Fetal distress occurred in 10. 6% and 9. 3% of patients during spontaneous and induced labour, respectively. The frequency of ceasarean section after induced labour was not significantly greater than that among patients who had spontaneous labour.Conclusion. Delivery at 38 to 39 weeks in women with GD has led to an increase in the rate of birth complications, such as uterine inertia and dysthyroidism. Gestational age cannot be considered as a sufficient indicator of labour induction at full-term in the absence of foetus distress or poor maternal glycemic control. |
| first_indexed | 2024-03-08T15:20:40Z |
| format | Article |
| id | doaj.art-cf4f53c5eb1b400cbbe5e380207943f3 |
| institution | Directory Open Access Journal |
| issn | 2072-0351 2072-0378 |
| language | English |
| last_indexed | 2025-03-14T16:36:31Z |
| publishDate | 2016-05-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Сахарный диабет |
| spelling | doaj.art-cf4f53c5eb1b400cbbe5e380207943f32025-02-21T09:29:33ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782016-05-0119215816310.14341/DM2004130-337369A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetesOfelia A. Bettikher0Irina E. Zazerskaya1Polina V. Popova2Vitaliy N. Kustarov3Federal Almazov North-West Medical Research Centre, Saint-PetersburgFederal Almazov North-West Medical Research Centre, Saint-PetersburgFederal Almazov North-West Medical Research Centre, Saint-PetersburgFederal Almazov North-West Medical Research Centre, Saint-PetersburgAim. To evaluate the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes (GD).Materials and methods. This retrospective cohort study conducted at the Federal Almazov Northwest Medical Research Centre included 251 patients with GD who had given birth during 2014. The patients were divided into the following two groups: one included 210 patients who were treated with diet and the other included 41 patients who were treated with insulin. Clinical outcomes were compared between patients who had induced (n = 43) or spontaneous (n = 188) labour.Results. Complications of labour, such as dysthyroidism and uterine inertia, were significantly more common (p < 0. 05) in induced labour patients than in those who had spontaneous labour (16. 3 vs. 3. 2% and 7% vs. 0%, respectively). Fetal distress occurred in 10. 6% and 9. 3% of patients during spontaneous and induced labour, respectively. The frequency of ceasarean section after induced labour was not significantly greater than that among patients who had spontaneous labour.Conclusion. Delivery at 38 to 39 weeks in women with GD has led to an increase in the rate of birth complications, such as uterine inertia and dysthyroidism. Gestational age cannot be considered as a sufficient indicator of labour induction at full-term in the absence of foetus distress or poor maternal glycemic control.https://www.dia-endojournals.ru/jour/article/view/7572gestational diabetesembryopathydysthyroidismuterine inertiadelivery time |
| spellingShingle | Ofelia A. Bettikher Irina E. Zazerskaya Polina V. Popova Vitaliy N. Kustarov A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes Сахарный диабет gestational diabetes embryopathy dysthyroidism uterine inertia delivery time |
| title | A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| title_full | A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| title_fullStr | A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| title_full_unstemmed | A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| title_short | A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| title_sort | comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes |
| topic | gestational diabetes embryopathy dysthyroidism uterine inertia delivery time |
| url | https://www.dia-endojournals.ru/jour/article/view/7572 |
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