Еffectiveness of programmed delivery in gestational diabetes mellitus in reducing the frequency of cesarean section

• Victor E. Radzinsky
• Papysheva Olga V.
• Esipova Larisa N.
• Nadezhda M. Startseva
• Kotaysh Galina A.
• Lukanovskaya Olga B.

Abstract

The caesarean section rate for gestational diabetes mellitus (GDM) is almost universally higher than the average population indicators, which dictates the need to find the optimal method of delivery.

Aim - to determine the optimal method of delivery for pregnant women with GDM.

Material and methods. The analysis of the performance indicators for the 2016-2018 period of a large obstetric hospital specializing in assisting pregnant women with diabetes was conducted (City Clinical Hospital # 29 named after N.E. Bauman, Moscow). The methods of delivery of 6113 pregnant women with GDM [spontaneous onset of labor, elective caesarean section, programmed delivery (PD)] were analyzed on the basis of annual reporting indicators of the medical organization.

Results. Application of methods PD when delivery pregnant with GDM allowed: a) to reduce the incidence of caesarean section 2.1 times [309 (46.6%) - up to use this method, as compared to 450 (21,8%) (data 2012 and 2018 years, respectively)]; b) used reduce the incidence of fractures collarbone infants in 7 times [14 (13.8V from born live) - up to use this method, as compared to 4 (1.9V)]; c) to reduce the incidence of perinatal the defeat of central nervous system newborn 1.7 times [126 (124.1V) and 201 (96.2 V)] to the application of the algorithm PD and its use, respectively.

Conclusion. PD patients with GDM are kind of contravention conservative approach (waiting tactics and planned Caesarean section), which allows effectively reduce the incidence of caesarean section without deterioration of perinatal outcomes.

Keywords:gestational diabetes mellitus, programmed delivery, caesarean section, perinatal outcomes of childbirth

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