Optimal Length of Pregnancy With GDM Questioned

This article originally appeared here.
Share this content:
Optimal Length of Pregnancy With GDM Questioned
Optimal Length of Pregnancy With GDM Questioned

FRIDAY, Feb. 17, 2017 (HealthDay News) -- Adverse perinatal outcomes are higher in insulin-treated gestational diabetes (GDM) than in non-insulin-treated GDM for most outcomes; however, optimal timing of delivery may be earlier than currently recommended, according to a study published online Feb. 15 in Diabetologia.

A team of researchers analyzed data from 796,346 births in France occurring after 28 weeks of pregnancy in 2012, including 57,629 mothers with GDM.

Compared to other pregnant women, those with GDM were 30 percent more likely to experience preterm birth, 40 percent more likely to require a cesarean section, and 70 percent more likely to have preeclampsia/eclampsia. Infants born to women with GDM were 80 percent more likely to be of significantly larger-than-average size at birth, 10 percent more likely to suffer respiratory issues, 30 percent more likely to experience a traumatic birth, and 30 percent more likely to have cardiac malformations. Higher risks were observed in women with insulin-treated GDM compared with diet-treated GDM. In analysis of term deliveries, an increased risk of perinatal mortality was observed, with the risk remaining moderately increased only for those with diet-treated GDM.

"By restricting analysis to deliveries after 37 weeks and excluding cases of undiagnosed pregestational diabetes, we identified a moderate increase in perinatal mortality in non-insulin-treated women with GDM," the authors write. "Although more investigation is needed, this study helps illuminate the controversy about timing of delivery in GDM pregnancy."

Abstract
Full Text

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Hospitals Vary Widely in Moving Stroke Patients to Comfort Care

Hospitals Vary Widely in Moving Stroke Patients to ...

Doctors more apt to suggest it sooner for older, white, female, and uninsured patients

Peri-Op IV Acetaminophen May Reduce Post-Op Pain in Sinus Sx

Peri-Op IV Acetaminophen May Reduce Post-Op Pain in ...

Reduction in immediate postoperative pain after endoscopic sinus surgery, but results inconclusive

Location of Body Fat Can Indicate Obesity-Related Cancer Risk

Location of Body Fat Can Indicate Obesity-Related Cancer ...

Where fat is carried is as strong a predictor as BMI, researchers suggest

is free, fast, and customized just for you!

Already a member?

Sign In Now »