Peripartum metabolic control in gestational diabetes

Juana A. Flores-Le Roux, Juan J. Chillaron, Alberto Goday, Jaume Puig De Dou, Antoni Paya, Maria A. Lopez-Vilchez, Juan F. Cano

Research output: Contribution to journalArticleResearchpeer-review

16 Citations (Scopus)

Abstract

Objective: We sought to evaluate intrapartum metabolic control in gestational diabetes mellitus (GDM) patients and maternal factors influencing intrapartum glycemic control and neonatal hypoglycemia risk. Study Design: A prospective observational study included 129 women with GDM admitted for delivery. Data collected included maternal intrapartum capillary blood glucose (CBG) and ketonemia, use of insulin, and neonatal hypoglycemia. Results: In all, 86% of maternal intrapartum CBG values fell within target range (3.3-7.2 mmol/L) without need for insulin use. There were no cases of maternal hypoglycemia or severe ketosis. Intrapartum CBG >7.2 mmol/L was associated with third-trimester glycated hemoglobin (P = .02) and lack of endocrinologic follow-up (P = .04). Risk of neonatal hypoglycemia was related with pregnancy insulin use compared with dietary control (60.5% vs 29.5%; P = .02). Conclusion: Peripartum metabolic control in GDM patients was achieved without insulin in most cases. Intrapartum glycemic control was related with third-trimester glycated hemoglobin and with no endocrinologic follow-up. Neonatal hypoglycemia was associated with insulin use during pregnancy. © 2010 Mosby, Inc. All rights reserved.
Original languageEnglish
Pages (from-to)568.e1-568.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume202
Issue number6
DOIs
Publication statusPublished - 1 Jan 2010

Keywords

  • blood glucose control
  • gestational diabetes
  • labor

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