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Abstract:
OBJECTIVE:Preexisting diabetes in pregnancy is associated with a high risk of emergency cesarean section (CS), which is associated with increased risk of maternal and neonatal complications. Thus, the aim of this study was to identify possible predictors of emergency CS in women with preexisting diabetes. STUDY DESIGN:This is a secondary analysis of a prospective observational study of 204 women with preexisting diabetes (118 with type 1 diabetes and 86 with type 2) with singleton pregnancies recruited at Rigshospitalet, Copenhagen, Denmark from August 2015 to February 2018. Mode of delivery (trial of labor or planned CS) was individually planned in late pregnancy based on clinical variables reflecting maternal and fetal health including glycemic control and ultrasonically estimated fetal weight. Univariate and multivariable analyses were performed to identify possible predictors of in labor emergency CS. RESULTS:Trial of labor was planned in 79 % (n = 162) of the women of whom 65 % (n = 105) were delivered vaginally and 35 % (n = 57) by an emergency CS, while the remaining 21 % (n = 42) were offered a planned CS. Nulliparity (adjusted odds ratio (aOR) 5.6 95 % CI 1.7-18.8), presence of a hypertensive disorder (aOR 2.8, 95 % CI 1.2-6.7) and previous CS (aOR 6.7, 95 % CI 1.5-28.9) were independently associated with an emergency CS. Maternal height was inversely associated with emergency CS (aOR 0.6 95 %, CI 0.5-0.9 per 5 cm decrease). Neither maternal HbA1c nor ultrasonically estimated fetal size in late pregnancy were associated with emergency CS. Women scheduled for a planned CS were characterized by poorer glycemic control and higher estimated fetal size than those offered a trial of labor. CONCLUSION:Nulliparity, presence of a hypertensive disorder, previous CS and shorter maternal height were predictors of emergency CS in women with a planned trial of labor, whereas this not was the case for late pregnancy maternal Hba1c or fetal size estimated by ultrasound.
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最新影响因子:2.831 | 期刊ISSN:0301-2115 | CiteScore:N/A |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1973 |
期刊官方网址:http://www.elsevier.com/wps/find/journaldescription.cws_home/505961/description
自引率:4.00% | 研究方向:医学-妇产科学 |
出版地区:NETHERLANDS |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The European Journal of Obstetrics & Gynecology and Reproductive Biology publishes original research, reviews and case reports in the fields of obstetrics, prenatal diagnosis, general gynecology, gynecologic oncology, uro-gynecology, infertility and reproductive endocrinology. The journal promotes scientific and clinical professional communication about the state of the art in obstetrics and gynecology worldwide and in particular in Europe.
《欧洲妇产科和生殖生物学杂志》发表了产科、产前诊断、普通妇科、妇科肿瘤、泌尿妇科、不孕不育和生殖内分泌领域的原始研究、综述和病例报告。该杂志促进科学和临床专业交流,在世界范围内,尤其是在欧洲,产科和妇科的最新进展。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 4区 REPRODUCTIVE BIOLOGY (生殖生物学) 4区 |
50/82 21/29 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
357 | 295 | 62 |
引文计数(2018)
文献(2015-2017)
N/A次引用
N/A篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Reproductive Medicine
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研究方向:meta
影响因子:6.497
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影响因子:3.492
ISSN:1540-2002
研究方向:CLINICAL NEUROLOGY-PSYCHIATRY
影响因子:4.562
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研究方向:医学-精神病学
发表一篇学和医学成像类SCI论文
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