Drury M I, Stronge J M, Foley M E, MacDonald D W
Obstet Gynecol. 1983 Sep;62(3):279-82. doi: 10.1097/00006250-198309000-00002.
The clinical outcome of 141 consecutive diabetic pregnancies managed in the National Maternity Hospital between January 1, 1979, and October 31, 1982, is described. Patients with gestational diabetes were excluded. There were 12 spontaneous abortions, and the perinatal mortality in 129 viable pregnancies was 31/1000. The malformation rate was 6.4%. Significant perinatal morbidity occurred in 20% of infants. The incidence of cesarean section was 20%. Spontaneous labor after 38 weeks occurred in 30% because there was a deliberate policy to allow all uncomplicated pregnancies to continue to term. This policy had benefits for the infant as well as the mother because there was a notable reduction in neonatal morbidity. Possible explanations of high cesarean section rates in other centers are discussed.
本文描述了1979年1月1日至1982年10月31日期间在国家妇产医院接受治疗的141例连续糖尿病妊娠的临床结果。妊娠糖尿病患者被排除在外。有12例自然流产，129例活产妊娠的围产儿死亡率为31/1000。畸形率为6.4%。20%的婴儿发生了显著的围产期发病率。剖宫产率为20%。38周后自然分娩的发生率为30%，因为有一项明确的政策允许所有无并发症的妊娠持续至足月。这项政策对婴儿和母亲都有益，因为新生儿发病率显著降低。文中还讨论了其他中心剖宫产率高的可能原因。
