Highlights
- •Late preterm occurring in women with GDM does not confer an increased risk for neonatal complications.
Abstract
Aim
To assess pregnancy outcome among women with gestational diabetes mellitus (GDM) delivering
at the late preterm period.
Methods
Retrospective observational cohort of all women with GDM who delivered a singleton
fetus at the late preterm birth period (34 + 0/7 to 36 + 6/7 weeks of gestation). The study group included all women diagnosed with GDM and
were compared to a control group of women delivering at the same gestational age period
but without known GDM.
Results
1849 women were included in the study, of whom 132 (7.1%) were diagnosed with GDM
and 1717 (92.9%) were not. Women with GDM had a lower rate of spontaneous vaginal
delivery (45.5% vs. 62.9%, p < 0.001) and a higher rate of cesarean delivery (50.8% vs. 31.8%, p < 0.001). GDM diagnosis incurs an adjusted ratio of 1.82 for cesarean delivery (95%
CI 1.24–2.66, p = 0.002). Neonates of mothers with GDM had significant higher mean birth weight and
birth weight percentile, including higher rate of large-for-gestational age newborns.
There were no differences in mortality or other parameters for neonatal morbidity.
Conclusion
according to our data, late preterm occurring in women with GDM does not confer an
increased risk for neonatal complications.
Keywords
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Article info
Publication history
Published online: January 12, 2016
Accepted:
December 24,
2015
Received in revised form:
October 15,
2015
Received:
July 18,
2015
Identification
Copyright
© 2016 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
