Why the study?
Does elective induction of labor at 38 to 39 weeks of gestation reduce the incidence of shoulder dystocia in insulin-requiring diabetic women?
Population
260 insulin-requiring diabetic women (Class A2 gestational diabetes)
Comparison
Elective induction of labor at 38 to 39 weeks of… vs Pregnancies allowed to progress to spontaneous…
Design
Cohort
Follow-up
Delivery
Authors
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May support elective induction at 38-39 weeks to lower shoulder dystocia in diabetic pregnancies; leaves open confirmation in randomized trials.
Does elective induction of labor at 38 to 39 weeks of gestation reduce the incidence of shoulder dystocia in insulin-requiring diabetic women?
Elective induction of labor at 38-39 weeks in insulin-requiring gestational diabetic women significantly reduces the incidence of shoulder dystocia without increasing cesarean section rates.
Lurie et al. (1996) studied this question.
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