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- Title
Incidence of and factors associated with emergency caesarean section in pregnant women with gestational diabetes mellitus: A retrospective cohort study.
- Authors
Nabika, Satoshi; Nakamura, Tsukasa; Ito, Yasuo; Nagasawa, Atsushi; Morimoto, Takeshi
- Abstract
Aim: The incidence of factors associated with emergency cesarean section (ECS) in patients with gestational diabetes mellitus (GDM) have not been well investigated. Methods: We conducted a retrospective cohort study of patients diagnosed with GDM between 2011 and 2020 at a tertiary care hospital in Japan. Clinical data, vital signs, and laboratory results of the patients were collected from electronic medical records. We constructed a multivariate logistic regression model to identify the clinical characteristics associated with ECS. Results: We included 1189 patients diagnosed with GDM, the mean maternal age was 33 years, and 507 (42.6%) patients were aged ≥35 years. In total, 114 patients underwent ECS (9.6%). The previous assisted reproductive technology (ART) use (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.12–2.93), previous artificial abortion (OR, 1.94; 95% CI, 1.13–3.33), high pre‐pregnancy body mass index (BMI) (OR, 1.07; 95% CI, 1.02–1.11), and late diagnosis of GDM (OR, 1.02; 95% CI, 1.003–1.05) were independently associated with ECS. Conclusions: One of every 10 GDM patients required ECS. Previous ART use, previous artificial abortion, high pre‐pregnancy BMI, and late diagnosis of GDM were risk factors for ECS in GDM patients.
- Subjects
JAPAN; CESAREAN section; BODY mass index; GESTATIONAL diabetes; MULTIPLE regression analysis; EMERGENCY medical services; PREGNANT women; TERTIARY care; RETROSPECTIVE studies; DESCRIPTIVE statistics; LONGITUDINAL method; HUMAN reproductive technology; ODDS ratio; MEDICAL records; ACQUISITION of data; PREGNANCY complications; DELAYED diagnosis; CONFIDENCE intervals
- Publication
Journal of Obstetrics & Gynaecology Research, 2024, Vol 50, Issue 5, p849
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.15921