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首页> 外文期刊>American Journal of Obstetrics and Gynecology >Delivery timing and cesarean delivery risk in women with mild gestational diabetes mellitus
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Delivery timing and cesarean delivery risk in women with mild gestational diabetes mellitus

机译：轻度妊娠糖尿病妇女的分娩时机和剖宫产风险

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Objective The purpose of this study was to evaluate the relationship between gestational age (GA) and induction of labor (IOL) and the rate of cesarean delivery in women with mild gestational diabetes mellitus. Study Design We conducted a secondary analysis of data from a multicenter randomized controlled trial of mild gestational diabetes mellitus treatment. Cesarean delivery rate of women delivering at term (≥37 weeks' gestation) was evaluated by 2 complementary approaches: (1) IOL vs spontaneous labor: women who were induced at each GA compared with those who spontaneously labored at the same GA and (2) IOL vs expectant management: women who delivered after IOL at each GA compared with those who delivered after spontaneous labor at the same GA or subsequently after spontaneous or induced labor (outcome at each week compared with expectant management at that week). Logistic regression adjusted for potential confounders. Results The overall cesarean delivery rate was 13%. When compared with 39 weeks' gestation (either IOL or spontaneous labor) as the referent, there was no significant difference in the cesarean delivery rate in women who delivered at 37, 38, or 40 weeks' gestation. However, IOL was associated with a 3-fold increase in cesarean delivery rate at 41 weeks' gestation and beyond, as compared with IOL at 39 weeks' gestation. Similarly, there was a 3-fold increase in the cesarean delivery rate in women who were induced when compared with those who were treated expectantly at 40 completed weeks' gestation. Conclusion Induction of labor in women with mild gestational diabetes mellitus does not increase the rate of cesarean delivery at <40 weeks' gestation.
机译：目的本研究旨在评估轻度妊娠糖尿病妇女的胎龄（GA）与引产（IOL）和剖宫产率的关系。研究设计我们对来自轻度妊娠糖尿病治疗的多中心随机对照试验的数据进行了二次分析。通过两种补充方法评估足月（≥37周妊娠）分娩妇女的剖宫产分娩率：（1）IOL与自然分娩：在每次GA中引产的妇女与在相同GA中自然分娩的妇女相比，（2 ）IOL vs预期管理：与在同一GA进行自发分娩或随后在自然或引产后分娩的妇女相比，在每次GA进行IOL分娩的妇女（与该周的预期管理相比，每周的结果）。 Logistic回归针对潜在的混杂因素进行了调整。结果剖宫产总率为13％。与以39周妊娠（人工晶体或自然分娩）为参照进行比较，在37、38或40周妊娠分娩的妇女中，剖宫产率没有显着差异。但是，与39周妊娠时的IOL相比，IOL在妊娠41周及以后的剖宫产率增加了3倍。同样，与那些在妊娠40周后接受预期治疗的妇女相比，被诱导妇女的剖宫产率增加了3倍。结论轻度妊娠糖尿病妇女分娩不会增加小于40周妊娠的剖宫产率。

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