Factors Affecting Mode of Birth in Women With Preexisting Diabetes and Gestational Diabetes: A Retrospective Cohort at a Tertiary Referral Center

Women with preexisting diabetes and gestational diabetes mellitus (GDM) are at higher risk for adverse maternal and neonatal outcomes. However, there is no consensus on a uniform approach regarding mode of birth (MOB) for all forms of diabetes. The aim of the study is to compare MOB in women with pr...

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Bibliographic Details
Published in:Journal of diabetes research 2024, Vol.2024 (1), p.5561761
Main Authors: Reischer, Theresa, Prossinger, Sina, Catic, Anja, Healy, Eibhlin, Göbl, Christian, Yerlikaya-Schatten, Gülen
Format: Article
Language:English
Subjects:
Adult
Body mass index
Cesarean Section - statistics & numerical data
Childbirth & labor
Delivery, Obstetric - statistics & numerical data
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes, Gestational - epidemiology
Diet
Female
Fetuses
Gestational age
Gestational diabetes
Glucose
Gynecology
Humans
Insulin
Labor, Induced - statistics & numerical data
Obstetrics
Parturition
Pregnancy
Pregnancy in Diabetics - epidemiology
Pregnancy Outcome - epidemiology
Regression analysis
Retrospective Studies
Risk Factors
Tertiary Care Centers
Vagina
Variables
Womens health
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Summary:Women with preexisting diabetes and gestational diabetes mellitus (GDM) are at higher risk for adverse maternal and neonatal outcomes. However, there is no consensus on a uniform approach regarding mode of birth (MOB) for all forms of diabetes. The aim of the study is to compare MOB in women with preexisting diabetes and GDM and possible factors influencing it. A retrospective cohort study of women with GDM and preexisting diabetes between 2015 and 2021 at a tertiary referral center was conducted. One thousand three hundred eighty-five singleton pregnancies were included. One thousand twenty-two (74.4%) women had a vaginal birth (VB) and 351 (25.6%) a caesarean section. Preexisting diabetes was significantly associated with caesarean section compared to GDM (OR 2.43). Five hundred fifty-one (40.1%) women underwent induction of labor, and 122 (22.1%) women had a secondary caesarean after IOL. Women induced due to spontaneous rupture of membrane (SROM) achieved the highest rate of VB at 93%. The lowest rates of VB occurred if indication for induction was for preeclampsia or hypertension. IOL was significantly less successful in preexisting diabetes with a VB achieved in 56.4% for type 1 diabetes and 52.6% of type 2 diabetes compared to GDM (78.2% in GDM; 81.2% in IGDM; OR 3.25, 95% CI 1.70–6.19, p
ISSN:2314-6745
2314-6753
2314-6753
DOI:10.1155/2024/5561761