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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Autores principales:	Ofelia A. Bettikher, Irina E. Zazerskaya, Polina V. Popova, Vitaliy N. Kustarov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2016
Materias:	gestational diabetes embryopathy dysthyroidism uterine inertia delivery time Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/cf4f53c5eb1b400cbbe5e380207943f3
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spelling	oai:doaj.org-article:cf4f53c5eb1b400cbbe5e380207943f32021-11-14T09:00:20ZA comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes2072-03512072-037810.14341/DM2004130-33https://doaj.org/article/cf4f53c5eb1b400cbbe5e380207943f32016-05-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/7572https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. 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.Ofelia A. BettikherIrina E. ZazerskayaPolina V. PopovaVitaliy N. KustarovEndocrinology Research Centrearticlegestational diabetesembryopathydysthyroidismuterine inertiadelivery timeNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 19, Iss 2, Pp 158-163 (2016)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	gestational diabetes embryopathy dysthyroidism uterine inertia delivery time Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	gestational diabetes embryopathy dysthyroidism uterine inertia delivery time Nutritional diseases. Deficiency diseases RC620-627 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
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.
format	article
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
title	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_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_sort	comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes
publisher	Endocrinology Research Centre
publishDate	2016
url	https://doaj.org/article/cf4f53c5eb1b400cbbe5e380207943f3
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A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes

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