Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study
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2024
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| author | Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto |
| author_facet | Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto |
| collection | Wiley Open Access |
| contents | Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto Journal of Obstetrics and Gynaecology Research AbstractAimThe incidence of factors associated with emergency cesarean section (ECS) in patients with gestational diabetes mellitus (GDM) have not been well investigated.MethodsWe conducted a retrospective cohort study of patients diagnosed with GDM between 2011 and 2020 at a tertiary care hospital in Japan. Clinical data, vital signs, and laboratory results of the patients were collected from electronic medical records. We constructed a multivariate logistic regression model to identify the clinical characteristics associated with ECS.ResultsWe included 1189 patients diagnosed with GDM, the mean maternal age was 33 years, and 507 (42.6%) patients were aged ≥35 years. In total, 114 patients underwent ECS (9.6%). The previous assisted reproductive technology (ART) use (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.12–2.93), previous artificial abortion (OR, 1.94; 95% CI, 1.13–3.33), high pre‐pregnancy body mass index (BMI) (OR, 1.07; 95% CI, 1.02–1.11), and late diagnosis of GDM (OR, 1.02; 95% CI, 1.003–1.05) were independently associated with ECS.ConclusionsOne of every 10 GDM patients required ECS. Previous ART use, previous artificial abortion, high pre‐pregnancy BMI, and late diagnosis of GDM were risk factors for ECS in GDM patients. 10.1111/jog.15921 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/jog.15921 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_jog_15921 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto Journal of Obstetrics and Gynaecology Research Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study Satoshi Nabika Tsukasa Nakamura Yasuo Ito Atsushi Nagasawa Takeshi Morimoto Journal of Obstetrics and Gynaecology Research AbstractAimThe incidence of factors associated with emergency cesarean section (ECS) in patients with gestational diabetes mellitus (GDM) have not been well investigated.MethodsWe conducted a retrospective cohort study of patients diagnosed with GDM between 2011 and 2020 at a tertiary care hospital in Japan. Clinical data, vital signs, and laboratory results of the patients were collected from electronic medical records. We constructed a multivariate logistic regression model to identify the clinical characteristics associated with ECS.ResultsWe included 1189 patients diagnosed with GDM, the mean maternal age was 33 years, and 507 (42.6%) patients were aged ≥35 years. In total, 114 patients underwent ECS (9.6%). The previous assisted reproductive technology (ART) use (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.12–2.93), previous artificial abortion (OR, 1.94; 95% CI, 1.13–3.33), high pre‐pregnancy body mass index (BMI) (OR, 1.07; 95% CI, 1.02–1.11), and late diagnosis of GDM (OR, 1.02; 95% CI, 1.003–1.05) were independently associated with ECS.ConclusionsOne of every 10 GDM patients required ECS. Previous ART use, previous artificial abortion, high pre‐pregnancy BMI, and late diagnosis of GDM were risk factors for ECS in GDM patients. 10.1111/jog.15921 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study |
| topic | Journal of Obstetrics and Gynaecology Research |
| url | https://obgyn.onlinelibrary.wiley.com/doi/10.1111/jog.15921 |