z-logo
Premium
Obstetric interventions for women with type 1 or type 2 diabetes
Author(s) -
Cundy Tim,
Morgan Joanna,
O'Beirne Claire,
Gamble Greg,
Budden Astrid,
Ivanova Valeria,
Wallace Mairi
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2013.04.022
Subject(s) - medicine , type 2 diabetes , glycemic , obesity , diabetes mellitus , type 1 diabetes , pregnancy , obstetrics , population , secular variation , psychological intervention , pediatrics , demography , endocrinology , environmental health , psychiatry , sociology , biology , genetics
Abstract Objective To determine whether differences exist in the rates of obstetric intervention between women with type 1 diabetes and those with type 2 diabetes, and whether there has been any change in cesarean rates over time, paralleling that seen in the general obstetric population. Methods Data were examined from a prospectively collected series on the outcomes of 1030 deliveries (382 by women with type 1 diabetes, 648 by women with type 2 diabetes) from 1988 to 2008. Results There was a secular trend to increasing maternal age (type 1, P < 0.003; type 2, P < 0.03). Intervention rates (induction of labor or elective cesarean) did not differ between type 1 (88%) and type 2 (85%) diabetes. The overall cesarean rate was 52%–55% with no secular trend. Poorer glycemic control in early pregnancy and primiparity were associated with primary cesarean in both groups. In women with type 1 diabetes, greater maternal obesity and retinopathy were also associated with primary cesarean. Conclusion Intervention rates are high in pregnancies among women with type 1 diabetes and those with type 2 diabetes but they have not changed significantly. Secular trends toward increasing maternal age and obesity suggest that intervention rates are unlikely to decrease in the near future.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here