What does this research mean for the field?

Gestational diabetes mellitus is associated with a significantly higher rate of cesarean delivery compared to matched controls, primarily due to an increase in cesarean births without labor. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

December 1, 1991Diabetes

Gestational diabetes mellitus was associated with a significantly higher rate of cesarean delivery compared to matched controls (35.3% vs. 22%, P<0.01).

Q: What is the clinical evidence from this study?

Study design: Case-Control. Population: Gestational diabetes mellitus (n=455). Intervention: Gestational diabetes mellitus vs. Matched control subjects without gestational diabetes mellitus. Primary outcome: Cesarean delivery (p=<0.01).

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Why the study?

Do women with gestational diabetes mellitus have higher rates of obstetric complications compared to matched controls?

Population

150 women with gestational diabetes mellitus and 305 control subjects matched for age, parity, and ethnicity.

Comparison

Intensive diet therapy and self-monitoring of… vs Control subjects matched for age, parity, and…

Design

Cohort

Key result

Gestational diabetes mellitus was associated with a significantly higher rate of cesarean delivery compared to matched controls (35.3% vs. 22%, P<0.01).

Authors

MGMindy Goldman JKJohn L. Kitzmiller BABarbara Abrams

Discussion

Member takes

Overview

Elevated cesarean rates in gestational diabetes warrant attention; leaves open whether management reduces this risk.

Study Design

Type

Case-Control (n=455)

Structured PICO

Do women with gestational diabetes mellitus have higher rates of obstetric complications compared to matched controls?

Population

455 women, including 150 with gestational diabetes mellitus and 305 matched controls, assessed retrospectively for obstetric complications.

Exposure

Intensive diet therapy and self-monitoring of capillary blood glucose to obtain postprandial euglycemia (22% required insulin).

Comparator

Control subjects matched for age, parity, and ethnicity.

Outcome

Obstetric complications including polyhydramnios, preterm labor, pyelonephritis, hypertension, preeclampsia, abnormalities of labor, birth trauma, fetal macrosomia, and cesarean delivery.hard clinical

Main Result

Absolute Event Rate: 35.3% vs 22%

p-value: p=<0.01

Women with gestational diabetes mellitus have higher rates of cesarean delivery and hypertensive complications compared to matched controls, despite intensive management.

Cite This Study

Goldman et al. (1991) conducted a case-control in Gestational diabetes mellitus (n=455). Gestational diabetes mellitus vs. Matched control subjects without gestational diabetes mellitus was evaluated on Cesarean delivery (p=<0.01). Gestational diabetes mellitus was associated with a significantly higher rate of cesarean delivery compared to matched controls (35.3% vs. 22%, P<0.01).

synapsesocial.com/papers/6a62dd5d809dd4a9e2c1a5af https://doi.org/10.2337/diab.40.2.s79

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December 1, 1991Diabetes

Gestational diabetes mellitus was associated with a significantly higher rate of cesarean delivery compared to matched controls (35.3% vs. 22%, P<0.01).

View Full Paper

Ask AI

Bookmark

Why the study?

Do women with gestational diabetes mellitus have higher rates of obstetric complications compared to matched controls?

Population

150 women with gestational diabetes mellitus and 305 control subjects matched for age, parity, and ethnicity.

Comparison

Intensive diet therapy and self-monitoring of… vs Control subjects matched for age, parity, and…

Design

Cohort

Key result

Gestational diabetes mellitus was associated with a significantly higher rate of cesarean delivery compared to matched controls (35.3% vs. 22%, P<0.01).

Authors

MGMindy Goldman JKJohn L. Kitzmiller BABarbara Abrams

Discussion

Member takes

Overview

Elevated cesarean rates in gestational diabetes warrant attention; leaves open whether management reduces this risk.

Study Design

Type

Case-Control (n=455)

Structured PICO

Do women with gestational diabetes mellitus have higher rates of obstetric complications compared to matched controls?

Population

455 women, including 150 with gestational diabetes mellitus and 305 matched controls, assessed retrospectively for obstetric complications.

Exposure

Intensive diet therapy and self-monitoring of capillary blood glucose to obtain postprandial euglycemia (22% required insulin).

Comparator

Control subjects matched for age, parity, and ethnicity.

Outcome

Main Result

Absolute Event Rate: 35.3% vs 22%

p-value: p=<0.01

Women with gestational diabetes mellitus have higher rates of cesarean delivery and hypertensive complications compared to matched controls, despite intensive management.

Cite This Study

synapsesocial.com/papers/6a62dd5d809dd4a9e2c1a5af https://doi.org/10.2337/diab.40.2.s79

Also Consider

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