Comparison of Feto-Maternal Outcomes Between Emergency and Elective Cesarean Deliveries in Patients with Gestational Diabetes

Turkish Journal of Diabetes and Obesity Pub Date : 2023-04-28 DOI:10.25048/tudod.1233486

M. Obut, Neval Çayönü Kahraman, Sadun Sucu, Ayşe Keleş, Ö. Arat, Ozge Yucel Celik, Mevlüt Bucak, Ayberk Çakir, D. Şahın, A. Yücel

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Abstract

Aim: To compare fetal and maternal outcomes between elective and emergency cesarean sections in patients with gestational diabetes mellitus (GDM). Material and Methods: Data from patients with GDM delivered by cesarean section between January 2015 and July 2020 were retrospectively reviewed. Patients were grouped according to whether the cesarean section was elective (n=129) or emergency (n=158). Results: The cesarean section rate was higher in patients with GDM (31.16%) than in patients without GDM. There were more patients with inadequate maternal care in the emergency cesarean section group than in the elective cesarean section group (p=0.003). One neonate in the elective group and six in the emergency C/S group died, but the rates of neonatal mortality were similar (p=0.198). Maternal morbidity (wound infection, fever, blood transfusion, and maternal intensive care) and fetal morbidity (birth asphyxia, respiratory morbidity, and neonatal intensive care) were higher in the emergency C/S group (p

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妊娠期糖尿病患者急诊和择期剖宫产的胎母结局比较

目的:比较妊娠期糖尿病(GDM)患者择期和急诊剖宫产的胎儿和母体结局。材料和方法:回顾性分析2015年1月至2020年7月剖宫产分娩的GDM患者的数据。根据择期剖宫产(n=129)和急诊剖宫产(n=158)对患者进行分组。结果:GDM患者剖宫产率(31.16%)高于非GDM患者。急诊剖宫产组产妇护理不足患者多于择期剖宫产组(p=0.003)。择期组1例新生儿死亡，急诊C/S组6例新生儿死亡，但新生儿死亡率相似(p=0.198)。急诊C/S组的产妇发病率(伤口感染、发热、输血和产妇重症监护)和胎儿发病率(出生窒息、呼吸系统发病率和新生儿重症监护)更高(p

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Turkish Journal of Diabetes and Obesity

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