Programmed labor for gestational diabetes mellitus - reserve for reducing the frequency of operative delivery


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Background. In modern obstetric practice, programmed labor is increasingly becoming an alternative to operative delivery. Algorithm for its management is especially important for an ever-increasing group of patients with a burdened somatic and obstetric and gynecological history. Objective. Evaluation of the results and outcomes of programmed labor in patients with preeclampsia (PE), gestational diabetes mellitus (GDM) and a high perinatal risk. Methods A retrospective cohort study included 160 women with a high perinatal risk, singleton pregnancy, full-term gestational age (38-41 weeks) who underwent programmed labor, and their newborns. The patients were divided into 2 groups: the 1st group - with GDM (n=120), the 2nd one - with GDM in combination with PE (n=40). Results. As a result of programmed labor in patients with high perinatal risk and GDM and in the high-risk group - combination of GDM and PE, satisfactory perinatal outcomes were recorded, the incidence of neonatal morbidity decreased by 1.5 times. Conclusion Programmed labor in pregnant women with high perinatal risk serves as an alternative to operative delivery in patients with GDM and patients with GDM in combination with PE.

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作者简介

V. Grabovsky

City Clinical Hospital № 1 n.a. N.I. Pirogov, Branch “Maternity Hospital № 25"

Moscow, Russia

I. Kostin

RUDN University

Moscow, Russia

E. Tazhetdinov

City Clinical Hospital № 1 n.a. N.I. Pirogov, Branch “Maternity Hospital № 25"

Moscow, Russia

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