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Gestational diabetes mellitus: A risk factor for non‐elective cesarean section
Author(s) -
Gorgal Rosário,
Gonçalves Elisabete,
Barros Mónica,
Namora Gabriela,
Magalhães Ângela,
Rodrigues Teresa,
Montenegro Nuno
Publication year - 2012
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2011.01659.x
Subject(s) - medicine , gestational diabetes , elective cesarean section , diabetes mellitus , section (typography) , obstetrics , risk factor , pregnancy , gestation , endocrinology , genetics , biology , advertising , business
Aim: To assess whether gestational diabetes mellitus (GDM) is associated with non‐elective cesarean section. Material and Methods: A retrospective cohort study was conducted at the Department of Obstetrics of a level III hospital. Between January 2004 and November 2007, women admitted in labor or with spontaneous rupture of membranes, at term, and with a singleton cephalic presenting fetus were eligible. From these, 220 women with GDM and 660 glucose‐tolerant women, delivered immediately after, were selected. The association between GDM and non‐elective cesarean was estimated using modified Poisson regression analysis. Relative risks were adjusted for age, pre‐pregnancy body mass index, gestational weight gain, previous cesarean, gestational age at delivery and birthweight. Results: Non‐elective cesarean section rate for women with GDM was 19.5% compared to 13.5% for non‐diabetic women. The crude relative risk of cesarean section was 1.45 (95% CI 1.04–2.02) for women with GDM. After adjustment for confounders, the association between GDM and non‐elective cesarean section remained positive and statistically significant (RR = 1.52; 95% CI 1.06–2.16). No significant differences in cesarean indications were found between the two groups. Conclusion: GDM was disclosed as a risk factor for non‐elective cesarean section. Knowledge of the condition may have influenced obstetrical practice, favoring cesarean delivery.