Comparison of Feto-Maternal Outcomes Between Emergency and Elective Cesarean Deliveries in Patients with Gestational Diabetes

M. Obut, Neval Çayönü Kahraman, Sadun Sucu, Ayşe Keleş, Ö. Arat, Ozge Yucel Celik, Mevlüt Bucak, Ayberk Çakir, D. Şahın, A. Yücel
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Abstract

Aim: To compare fetal and maternal outcomes between elective and emergency cesarean sections in patients with gestational diabetes mellitus (GDM). Material and Methods: Data from patients with GDM delivered by cesarean section between January 2015 and July 2020 were retrospectively reviewed. Patients were grouped according to whether the cesarean section was elective (n=129) or emergency (n=158). Results: The cesarean section rate was higher in patients with GDM (31.16%) than in patients without GDM. There were more patients with inadequate maternal care in the emergency cesarean section group than in the elective cesarean section group (p=0.003). One neonate in the elective group and six in the emergency C/S group died, but the rates of neonatal mortality were similar (p=0.198). Maternal morbidity (wound infection, fever, blood transfusion, and maternal intensive care) and fetal morbidity (birth asphyxia, respiratory morbidity, and neonatal intensive care) were higher in the emergency C/S group (p
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妊娠期糖尿病患者急诊和择期剖宫产的胎母结局比较
目的:比较妊娠期糖尿病(GDM)患者择期和急诊剖宫产的胎儿和母体结局。材料和方法:回顾性分析2015年1月至2020年7月剖宫产分娩的GDM患者的数据。根据择期剖宫产(n=129)和急诊剖宫产(n=158)对患者进行分组。结果:GDM患者剖宫产率(31.16%)高于非GDM患者。急诊剖宫产组产妇护理不足患者多于择期剖宫产组(p=0.003)。择期组1例新生儿死亡,急诊C/S组6例新生儿死亡,但新生儿死亡率相似(p=0.198)。急诊C/S组的产妇发病率(伤口感染、发热、输血和产妇重症监护)和胎儿发病率(出生窒息、呼吸系统发病率和新生儿重症监护)更高(p
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