Effect of labor induction on cesarean section rates in diabetic pregnancies.

作者信息

Levy Anna L, Gonzalez Jose L, Rappaport Valerie J, Curet Luis B, Rayburn William F

机构信息

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Health Sciences Center, University of New Mexico, Albuquerque, NM, USA.

出版信息

J Reprod Med. 2002 Nov;47(11):931-2.

PMID:12497683

Abstract

OBJECTIVE

To determine if induced labor increases the incidence of cesarean delivery in pregnancies complicated by diabetes.

STUDY DESIGN

This retrospective cohort study of pregnancies complicated with diabetes involved data from birth certificates reported to the New Mexico Department of Health between January 1996 and December 1999.

RESULTS

There were 108,487 births, with 3,392 (3.1%) in women with diabetes. As compared to those without diabetes, this group had an almost twofold-increased risk of primary cesarean delivery (20.3% versus 11.3%; OR 2.00; 95% CI 1.83, 2.19). The risk of primary cesarean delivery in diabetic women was lower in the presence than in the absence of induced labor (17.7% versus 21.9%; OR .77; 95% CI .50, 0.89). This association continued after controlling for birth weight > or = 4,000 g, breech presentation, twins, maternal age > 35 and gestational age > 42 weeks.