Women with gestational diabetes mellitus in the ACHOIS trial: Risk factors for shoulder dystocia
@article{Athukorala2007WomenWG,
title={Women with gestational diabetes mellitus in the ACHOIS trial: Risk factors for shoulder dystocia},
author={Chaturica Athukorala and Caroline A. Crowther and Kristyn J. Willson},
journal={Australian and New Zealand Journal of Obstetrics and Gynaecology},
year={2007},
volume={47}
}BACKGROUND
Gestational diabetes mellitus (GDM) is associated with increased risk of fetal macrosomia and shoulder dystocia. [] Key MethodMETHODS
A secondary analysis was performed on data collected from women enrolled in the ACHOIS trial. Bivariate analyses were performed using the Fisher exact test. Variables found to be significantly associated with shoulder dystocia and previously identified risk factors were used as explanatory variables in multivariate analyses.
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References
SHOWING 1-10 OF 44 REFERENCES
Maternal and perinatal outcomes in 143 Danish women with gestational diabetes mellitus and 143 controls with a similar risk profile
- Medicine, BiologyDiabetic medicine : a journal of the British Diabetic Association
- 2000
Aims To assess maternal and fetal outcomes in pregnancies complicated by gestational diabetes mellitus (GDM) compared to non‐diabetic pregnancies with an otherwise similar risk profile and to study…
Outcome of pregnancy in a woman with an increased body mass index
- MedicineBJOG : an international journal of obstetrics and gynaecology
- 2005
It is shown that obesity increases the risk of adverse outcomes in labour and fetomaternal morbidity in obese women (BMI > 30) and the number of miscarriages and stillbirths among obese women is increased.
Effect of treatment of gestational diabetes mellitus on pregnancy outcomes.
- MedicineThe New England journal of medicine
- 2005
Treatment of gestational diabetes reduces serious perinatal morbidity and may also improve the woman's health-related quality of life.
Induction of labour for suspected fetal macrosomia.
- MedicineThe practising midwife
- 2000
To assess the effects of a policy of labour induction for suspected fetal macrosomia on method of delivery and maternal or perinatal morbidity, a large number of women with a suspected macrosomic fetus are surveyed.
Induction of Labor Versus Expectant Management in Macrosomia: A Randomized Study
- MedicineObstetrics and gynecology
- 1997
Use of Fetal Ultrasound to Select Metabolic Therapy for Pregnancies Complicated by Mild Gestational Diabetes
- MedicineDiabetes Care
- 1994
Fetal ultrasound early in the third trimester identified women with mild GDM whose infants were at high risk for fetal macrosomia in the absence of standard glycemic criteria for insulin therapy, indicating that fetal ultrasound can be used to guide metabolic therapy in pregnancies complicated by mild G DM.
Cesarean delivery in relation to birth weight and gestational glucose tolerance: pathophysiology or practice style? Toronto Trihospital Gestational Diabetes Investigators.
- MedicineJAMA
- 1996
Infant macrosomia was a mediating factor in high cesarean delivery rates for women with untreated borderline GDM, and recognition of GDM may lead to a lower threshold for surgical delivery that mitigates the potential benefits of treatment.
Cesarean delivery in relation to birth weight and gestational glucose tolerance: pathophysiology or practice style? Toronto Trihospital Gestational Diabetes Investigators.
- Medicine
- 1996
Infant macrosomia was a mediating factor in high cesarean delivery rates for women with untreated borderline GDM, and recognition of GDM may lead to a lower threshold for surgical delivery that mitigates the potential benefits of treatment.
How to predict recurrent shoulder dystocia.
- MedicineAmerican journal of obstetrics and gynecology
- 2001
Factors that appear to increase the recurrence risk of shoulder dystocia include fetal weight and maternal parity and prior shoulder dyStocia is the single greatest predictive factor.
Elective delivery in diabetic pregnant women.
- MedicineThe Cochrane database of systematic reviews
- 2001
There is very little evidence to support either elective delivery or expectant management at term in pregnant women with insulin-requiring diabetes, and limited data from a single randomized controlled trial suggest that induction of labour in women with gestational diabetes treated with insulin reduces the risk of macrosomia.