Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis

Jinjing Wang,1,2,* Kang Chen,1,* Xinye Jin,1 Xueqiong Li,3 Ping An,1 Nan Yang,4 Yaolong Chen,4 Yi Fang,2 Yiming Mu11Department of Endocrinology, Chinese PLA General Hospital, Beijing 100853, People’s Republic of China; 2Department of Endocrinology, Fifth Medical Center of PLA General Hospi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Wang J, Chen K, Jin X, Li X, An P, Yang N, Chen Y, Fang Y, Mu Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	gestational diabetes mellitus caesarean section prognostic factors systematic review Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/5649e3126ce444549510fae8e13c4f03
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5649e3126ce444549510fae8e13c4f03
record_format	dspace
spelling	oai:doaj.org-article:5649e3126ce444549510fae8e13c4f032021-12-02T08:22:45ZPrognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis1178-7007https://doaj.org/article/5649e3126ce444549510fae8e13c4f032019-06-01T00:00:00Zhttps://www.dovepress.com/prognostic-factors-for-cesarean-section-outcome-of-pregnant-women-with-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Jinjing Wang,1,2,* Kang Chen,1,* Xinye Jin,1 Xueqiong Li,3 Ping An,1 Nan Yang,4 Yaolong Chen,4 Yi Fang,2 Yiming Mu11Department of Endocrinology, Chinese PLA General Hospital, Beijing 100853, People’s Republic of China; 2Department of Endocrinology, Fifth Medical Center of PLA General Hospital, Beijing 100071, People’s Republic of China; 3Department of Gerontology, First Affiliated Hospital of Kunming Medical University, Kunming 650031, People’s Republic of China; 4Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, People’s Republic of China*These authors contributed equally to this work Objective: To evaluate the prognostic factors for cesarean section outcome of pregnant women with diabetes mellitus.Methods: MEDLINE, EMBASE, Cochrane Library, CBM, CNKI and Wanfang database were searched. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias of included studies. For pooled data with factors of perioperative outcome, the RevMan software was used for data translation and meta-analysis. The result is shown intuitively with the bubble diagram of evidence mapping by Excel 2016.Results: We included 12 randomized controlled trials (RCTs) in the meta-analysis. Twelve RCTs with 1,390 patients were included in the systematic review. The results show that the perioperative blood glucose management regimens, preoperative fasting and water deprivation, anesthesia regimens, postoperative fluid regimens, postoperative analgesia regimens, postoperative wound care regimens, psychological interventions, different dosing regimens for antibiotics, and obesity may affect the cesarean section outcome of diabetic mothers and newborns. The evidence for all the outcomes was low quality.Conclusion: Many prognostic factors have shown significant association with postoperative outcomes of cesarean section. More clinical research evidence with high-quality is needed.Keywords: gestational diabetes mellitus, caesarean section, prognostic factors, systematic review, meta-analysis, evidence mappingWang JChen KJin XLi XAn PYang NChen YFang YMu YDove Medical Pressarticlegestational diabetes mellituscaesarean sectionprognostic factorssystematic reviewSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 913-929 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	gestational diabetes mellitus caesarean section prognostic factors systematic review Specialties of internal medicine RC581-951
spellingShingle	gestational diabetes mellitus caesarean section prognostic factors systematic review Specialties of internal medicine RC581-951 Wang J Chen K Jin X Li X An P Yang N Chen Y Fang Y Mu Y Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
description	Jinjing Wang,1,2,* Kang Chen,1,* Xinye Jin,1 Xueqiong Li,3 Ping An,1 Nan Yang,4 Yaolong Chen,4 Yi Fang,2 Yiming Mu11Department of Endocrinology, Chinese PLA General Hospital, Beijing 100853, People’s Republic of China; 2Department of Endocrinology, Fifth Medical Center of PLA General Hospital, Beijing 100071, People’s Republic of China; 3Department of Gerontology, First Affiliated Hospital of Kunming Medical University, Kunming 650031, People’s Republic of China; 4Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, People’s Republic of China*These authors contributed equally to this work Objective: To evaluate the prognostic factors for cesarean section outcome of pregnant women with diabetes mellitus.Methods: MEDLINE, EMBASE, Cochrane Library, CBM, CNKI and Wanfang database were searched. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias of included studies. For pooled data with factors of perioperative outcome, the RevMan software was used for data translation and meta-analysis. The result is shown intuitively with the bubble diagram of evidence mapping by Excel 2016.Results: We included 12 randomized controlled trials (RCTs) in the meta-analysis. Twelve RCTs with 1,390 patients were included in the systematic review. The results show that the perioperative blood glucose management regimens, preoperative fasting and water deprivation, anesthesia regimens, postoperative fluid regimens, postoperative analgesia regimens, postoperative wound care regimens, psychological interventions, different dosing regimens for antibiotics, and obesity may affect the cesarean section outcome of diabetic mothers and newborns. The evidence for all the outcomes was low quality.Conclusion: Many prognostic factors have shown significant association with postoperative outcomes of cesarean section. More clinical research evidence with high-quality is needed.Keywords: gestational diabetes mellitus, caesarean section, prognostic factors, systematic review, meta-analysis, evidence mapping
format	article
author	Wang J Chen K Jin X Li X An P Yang N Chen Y Fang Y Mu Y
author_facet	Wang J Chen K Jin X Li X An P Yang N Chen Y Fang Y Mu Y
author_sort	Wang J
title	Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
title_short	Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
title_full	Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
title_fullStr	Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
title_full_unstemmed	Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
title_sort	prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/5649e3126ce444549510fae8e13c4f03
work_keys_str_mv	AT wangj prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT chenk prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT jinx prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT lix prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT anp prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT yangn prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT cheny prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT fangy prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis AT muy prognosticfactorsforcesareansectionoutcomeofpregnantwomenwithgestationaldiabetesmellitusasystematicreviewandmetaanalysis
_version_	1718398543574597632

Prognostic factors for cesarean section outcome of pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis

Ejemplares similares