Khalifeh A, Breathnach F, Coulter-Smith S, Robson M, Fitzpatrick C, Malone F
Department of Obstetrics and Gynecology, Lankenau Medical Center , Wynnewood, PA , USA.
J Obstet Gynaecol. 2014 Feb;34(2):135-7. doi: 10.3109/01443615.2013.830596.
The purpose of this study was to identify any changing trends in the incidence and caesarean section (CS) rate of pre-gestational diabetes mellitus (DM) and gestational diabetes mellitus (GDM) over a 10- year period, between 1999 and 2008. Although the incidence of pre-gestational DM has not significantly changed over the course of the last 10 years, there is an obvious rising trend in the incidence of GDM. Despite an increase in the overall CS rate during this time period, a parallel increase in the CS rate has not been observed among women whose pregnancies are complicated either by gestational or by pre-gestational diabetes (PGD).
本研究的目的是确定1999年至2008年这10年间孕前糖尿病（DM）和妊娠期糖尿病（GDM）的发病率及剖宫产（CS）率的变化趋势。尽管过去10年中孕前DM的发病率没有显著变化，但GDM的发病率有明显上升趋势。尽管在此期间总体CS率有所上升，但在妊娠合并妊娠期或孕前糖尿病（PGD）的女性中，未观察到CS率的相应上升。
