Department of Obstetrics and Gynecology, University of Khartoum, Khartoum, Sudan.
Diagn Pathol. 2014 Jun 9;9:112. doi: 10.1186/1746-1596-9-112.
Glucose is the main source of energy for organ function in neonates. There are few published recent data on neonatal glucose levels during cesarean delivery.
A case (cesarean delivery) -control (vaginal delivery) study was conducted at Khartoum Hospital Sudan to compare blood glucose levels of term newborns born after elective cesarean delivery with those born vaginally.
Cord blood glucose levels at delivery were significantly lower in women who had a cesarean delivery compared with those who delivered vaginally (99.8 ± 20.6 vs. 106.8 ± 11.1 mg/dl, P=0.026), but there was no significant difference (97.8 ± 16.7 vs. 102.1 ± 9.6, P=0.110) in newborn glucose levels at 2 hours after delivery between the groups. In linear regression, cesarean delivery (-6.475 mg/dl, P=0.013) and maternal blood glucose levels at the time of delivery (+0.619 mg, P<0.001) were significantly associated with mean cord glucose levels.
This study shows that cord blood glucose levels are significantly lower in cesarean-delivered neonates than vaginally-delivered neonates. In addition, cord blood glucose levels are significantly associated with cesarean delivery and maternal blood glucose levels at delivery.
The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2011479878124993.
葡萄糖是新生儿器官功能的主要能量来源。关于剖宫产新生儿血糖水平的近期数据较少。
在苏丹喀土穆医院进行了一项病例（剖宫产）-对照（阴道分娩）研究，以比较择期剖宫产和阴道分娩足月新生儿的脐血血糖水平。
与阴道分娩的产妇相比，行剖宫产分娩的产妇的脐血血糖水平显著降低（99.8 ± 20.6 与 106.8 ± 11.1 mg/dl，P=0.026），但两组新生儿在分娩后 2 小时的血糖水平无显著差异（97.8 ± 16.7 与 102.1 ± 9.6，P=0.110）。在线性回归中，剖宫产（-6.475 mg/dl，P=0.013）和产妇分娩时的血糖水平（+0.619 mg，P<0.001）与脐血糖的平均水平显著相关。
本研究表明，与阴道分娩的新生儿相比，剖宫产新生儿的脐血血糖水平显著降低。此外，脐血糖水平与剖宫产和产妇分娩时的血糖水平显著相关。
本文的虚拟幻灯片可以在此处找到：http://www.diagnosticpathology.diagnomx.eu/vs/2011479878124993。
