Impact of increasing carbohydrate intolerance on maternal-fetal outcomes in 3637 women without gestational diabetes: the Toronto Tri-Hospital Gestational Diabetes Project

Article Abstract:

Impaired glucose tolerance in pregnant women without gestational diabetes appears to increase the chances of various adverse outcomes, such as cesarean section, preeclampsia (toxemia), and macrosomia (fetal obese development). A total of 3,637 nondiabetic pregnant women aged 24 and under were administered a glucose challenge test screen and oral glucose tolerance test (GTT). Increasing plasma glucose levels were linked to greater incidence of cesarean section, preeclampsia, longer hospitals stays for mother and child, and need for phototherapy. Cesarean section risk increased with each mmol/L increase in the oral GTT value. When other factors for cesarean section such as advancing maternal age, previous preeclampsia, and hypertension were considered, the association was somewhat weaker. Risks may be reversible with treatment.

Health aspects, Risk factors, Physiological aspects, Preeclampsia, Glucose tolerance tests, Glucose tolerance test, Maternal and infant welfare, Infant welfare, Maternal welfare, Cesarean section, Glucose metabolism

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Failed trial of vacuum or forceps - maternal and fetal outcome

Article Abstract:

Neither mothers nor infants may experience harm by undergoing a failed trial of forceps or vacuum extraction before cesarean section delivery. Researchers compared the outcomes of 401 women who had a cesarean section in the second stage of labor. Women who first underwent a failed trial of forceps or vacuum extraction did not differ from women who had cesarean section without attempted instrumental delivery in terms of fetal distress, death, intensive care nursery admission, maternal hospital stay, postpartum fever, or red cell count. Forceps and vacuum deliveries may be safe if doctors follow strict precautions.

Methods, Childbirth, Delivery (Childbirth), Obstetrical extraction, Obstetrical forceps, Forceps delivery

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