Pôle d'obstétrique, maternité Jeanne-de-Flandre, CHRU de Lille, 59037 Lille cedex, France.
Diabetes Metab. 2010 Dec;36(6 Pt 2):515-21. doi: 10.1016/j.diabet.2010.11.005.
To provide management guidelines for labour and delivery in women with gestational diabetes.
A literature search was performed using the PubMed and Cochrane databases. Foreign societies guidelines were also consulted.
There is no additional information from recent studies that supports changing current French guidelines about timing of delivery in gestational diabetes. The incidence of shoulder dystocia is increased in women with gestational diabetes, especially when infants weigh more than 4500 g. Elective caesarean-section when the foetal weight is greater than or equal to 4250 to 4500 grams may reduce the risk of shoulder dystocia. Meticulous attention to avoiding maternal hyperglycaemia during labour can prevent neonatal hypoglycaemia. There is no significant role for x-ray pelvimetry in the management of gestational diabetes.
Management of labour and delivery in women with gestational diabetes will mainly depend on estimated foetal weight, especially when macrosomia is present.
为患有妊娠糖尿病的女性分娩提供管理指南。
使用 PubMed 和 Cochrane 数据库进行文献检索，并参考了外国协会的指南。
最近的研究没有提供额外的信息支持改变法国目前关于妊娠糖尿病分娩时机的指南。患有妊娠糖尿病的女性发生肩难产的风险增加，尤其是当婴儿体重超过 4500 克时。当胎儿体重大于或等于 4250 至 4500 克时，选择性剖宫产可能会降低肩难产的风险。分娩过程中仔细注意避免孕妇高血糖可以预防新生儿低血糖。在妊娠糖尿病的管理中，X 射线骨盆测量术没有显著作用。
患有妊娠糖尿病的女性分娩的管理主要取决于估计的胎儿体重，尤其是存在巨大儿的情况下。
